HESI RN EXIT 1 PROCTORED EXAM
A client is being urgently transported to radiology for a Computerized Tomography (CT scan) after a sudden decrease in level of consciousness. The client is orally intubated and has a left lateral chest tube to 20 cm suction. Which action is most important for the nurse to take?
Explanation & Rationale
A. Securing the chest tube to the stretcher is important, but not the most critical action as it does not directly affect the function of the chest tube during transport. B. Administering pain medication is important for comfort but is not the most immediate concern during urgent transport for a CT scan. C. Marking the amount of chest drainage is a routine monitoring action and can be done before or after transport, thus not the most critical action. D. Keeping the chest tube container below the site of insertion is crucial to maintain proper drainage by gravity and prevent complications such as tension pneumothorax, which can be life- threatening.
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