Difficulty: Medium
Average Score: 95%
Simulated
Which intervention should the nurse implement first for the client diagnosed with a hemothorax who has had a right-sided chest tube for three (3) days and has no fluctuation (tidaling) in the water compartment?
Correct answer
A
Rationale
No tidaling may indicate resolution or obstruction; assessing lung sounds (A) confirms status. CXR (B), notification (C), and documentation (D) follow.