A barely conscious patient is brought to the ER with the handle of a nail file sticking part way out of the right side of the chest. The nurse's actions initially should be to:
1. turn the patient to the left side and prepare to remove the nail file.
2. place a pillow under the right side and elevate the head.
3. notify the charge nurse to call the hospital administration.
4. stabilize the nail file with a dressing and turn the patient to the right side.
4
Stabilizing the nail file is essential to prevent further damage, because it should not be re-moved. Turning the patient to the right side will aid in the respiratory effort of the left lung. There is no need to call the hospital administration and the police have already been notified by the EMS.
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