A nurse cares for a client who had a chest tube placed 6 hours ago and refuses to take deep breaths because of the pain. Which action should the nurse take?
a. Ambulate the client in the hallway to promote deep breathing.
b. Auscultate the client's anterior and posterior lung fields.
c. Encourage the client to take shallow breaths to help with the pain.
d. Administer pain medication and encourage the client to take deep breaths.
ANS: D
A chest tube is placed in the pleural space and may be uncomfortable for a client. The nurse should provide pain medication to minimize discomfort and encourage the client to take deep breaths. The other responses do not address the client's discomfort and need to take deep breaths to prevent complications.
You might also like to view...
Which of the following would the community health nurse do first when making an ethical decision?
A) Engage in critical thinking B) Choose a value C) Identify isolated values D) Clarify one's values
A patient is complaining of constipation. What teaching should the nurse plan to provide? (Select all that apply.)
A. Avoid vigorous exercise. B. Drink 8 to 10 glasses of water each day. C. Don't strain to move your bowels. D. Eat small, frequent meals. E. Increase your fiber intake.
Which of the following would be most likely to engage in health-promotion nursing research?
a. Associate degree prepared nurse b. Baccalaureate of Science in Nursing prepared nurse c. Diploma prepared nurse d. Doctorate in Nursing prepared nurse
The number of all cases of a particular disease for the past 5 years is an example of the incidence rate
Indicate whether the statement is true or false.