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The Nurse Is Caring for a Client with a Chest

Question 4

Multiple Choice

The nurse is caring for a client with a chest tube.Upon assessment, the nurse notes the presence of crepitus at the chest tube site, extending across the chest about three inches.Which action by the nurse is immediate?


A) Mark the area and continue to monitor.
B) Document the assessment finding.
C) Report the condition to the physician.
D) Check for other signs of infection.

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