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The Nurse Is Assessing a Client Who Has Just Arrived

Question 16

Multiple Choice

The nurse is assessing a client who has just arrived after an automobile accident and the nurse notes that the breath sounds are absent on the right side. Which of the following actions should the nurse anticipate?


A) Emergency pericardiocentesis
B) Stabilization of the chest wall with tape
C) Administration of an inhaled bronchodilator
D) Insertion of a chest tube with a chest drainage system

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