The nurse is caring for a 20-year-old female client, Rose Jones, who was admitted to the surgical floor after being the unrestrained (no seat belt) driver in a head-on motor vehicle accident. When Rose initially arrived in the emergency department, she was tachycardic, tachypneic, and anxious. She reported sharp chest pain and severe dyspnea with a pulse oximetry reading of 88% on room air. Before being transferred to your unit, Rose had a chest tube placed on the left side, after a chest x-ray showed a pneumothorax resulting from multiple rib fractures. She is currently ordered oxygen at 4 LPM via nasal cannula. (Learning Objectives 4, 5, 6, 10) 1. Describe the purpose of a chest tube for a client with a pneumothorax. 2. Describe key assessments that should be completed on a client with a chest tube and necessary equipment that should be kept available. 3. Describe the assessment findings that would suggest the client is hypoxic. What nursing interventions would be helpful for reducing any respiratory distress?
The nurse is caring for a 20-year-old female client, Rose Jones, who was admitted to the surgical floor after being the unrestrained (no seat belt) driver in a head-on motor vehicle accident. When Rose initially arrived in the emergency department, she was tachycardic, tachypneic, and anxious. She reported sharp chest pain and severe dyspnea with a pulse oximetry reading of 88% on room air. Before being transferred to your unit, Rose had a chest tube placed on the left side, after a chest x-ray showed a pneumothorax resulting from multiple rib fractures. She is currently ordered oxygen at 4 LPM via nasal cannula. (Learning Objectives 4, 5, 6, 10)
1. Describe the purpose of a chest tube for a client with a pneumothorax.
2. Describe key assessments that should be completed on a client with a chest tube and necessary equipment that should be kept available.
3. Describe the assessment findings that would suggest the client is hypoxic. What nursing interventions would be helpful for reducing any respiratory distress?
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