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The Nurse Assesses a Client Who Suffered Chest Trauma and Finds

Question 23

Multiple Choice

The nurse assesses a client who suffered chest trauma and finds that the left chest sucks in during inhalation and out during exhalation.The client's oxygen saturation has dropped from 94% to 86%.What is the priority action by the nurse?


A) Encourage the client to take deep, controlled breaths.
B) Document findings and continue to monitor the client.
C) Notify the health care provider and prepare for intubation.
D) Stabilize the chest wall with rib binders.

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