Trauma - Trauma
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gunshot victim
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Trauma
Time spent: 00:2
STEP
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Scenario Actions
Keaton Henderson
Two days after admission to the medical-surgical unit. The nurse has just updated the client's
health care provider. The health care provider states that they will be at the bedside within the
hour to remove the client's chest tube. The client's vital signs are temperature of 36.9° C (98.4°
F), pulse 86/min, respirations 16/min, blood pressure 136/64 mm Hg, and oxygen saturation of
98% on room air.
Which of the following actions should the nurse take? (Select all that apply.)
Administer an analgesic prior to removal.
Keep the client on bedrest for 2 hr following removal.
Assess the client's respiratory status every hour following removal.
Obtain petroleum jelly gauze prior to removal.
Prepare the client for the operating room for removal.
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