The patient's lower chest has been punctured with a knife that is still in place. What should the nurse's first action be?
a. Remove the knife
b. Apply an airtight dressing over the wound
c. Place the patient in a modified Trendelenburg position
d. Immobilize the knife with dressings and tape
ANS: D
When the patient's lower chest has been punctured with the weapon still in place, the nurse should immobilize the weapon with dressings and tape.
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