An hour after a thoracotomy,a patient complains of incisional pain at a level 7 (based on 0 to 10 scale) and has decreased left-sided breath sounds.The pleural drainage system has 100 mL of bloody drainage and a large air leak.Which action is best for the nurse to take next?
A) Milk the chest tube gently to remove any clots.
B) Clamp the chest tube momentarily to check for the origin of the air leak.
C) Assist the patient to deep breathe, cough, and use the incentive spirometer.
D) Set up the patient controlled analgesia (PCA) and administer the loading dose of morphine.
Correct Answer:
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