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The Nurse Is Caring for a Client Who Had a Thoracotomy

Question 43

Multiple Choice

The nurse is caring for a client who had a thoracotomy 1 hour ago and reports incisional pain at a level 7 out of 10 and has decreased left-sided breath sounds. The pleural drainage system has 100 mL of bloody drainage and a large air leak. Which of thefollowing actions is best for the nurse to take next?


A) Administer the prescribed PRN morphine.
B) Assist the client to deep breathe and cough.
C) Milk the chest tube gently to remove any clots.
D) Tape the area around the insertion site of the chest tube.

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