A car accident client is admitted with a chest tube following pneumothorax. He also has an elevated blood alcohol level
When the nurse enters his room, she notes the client is dyspneic, short of breath, and holding his chest tube in his hand. When the nurse pulls the linens back, she finds a "sucking" chest wound. After calling a "code blue," the next priority intervention would be to:
A) Place the client's meal napkin over the wound
B) Observe and wait for the code blue team to bring equipment
C) Try to calm the patient down by maintaining therapeutic communication
D) Apply a Vaseline gauze (airtight) dressing over the insertion site
Ans: D
Feedback:
The client has a medical emergency. Sucking chest wounds, which allow air to pass in and out of the chest cavity, should be treated by promptly covering the area with an airtight covering. Chest tubes are inserted as soon as possible. The other interventions will not help minimize the amount of air entering the pleural space.
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