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Drawing blood for a hematocrit and hemoglobin level
Applying a dressing over the wound and taping it on three sides
Preparing a chest tube insertion tray
Preparing to start an I.V. line
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Encourage oral feeding as soon as possible
Develop an alternative communication method
Keep the tracheostomy cuff fully inflated
Keep the patient flat in bed
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Inform the physician
Continue to monitor the client
Reinforce the occlusive dressing
Encourage the client to deep breathe
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Exhale slowly
Stay very still
Inhale and exhale quickly
Perform the Valsalva maneuver
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Do nothing. because this is an expected finding
Immediately clamp the chest tube and notify the physician
Check for an air leak because the bubbling should be intermittent
Increase the suction pressure so that the bubbling becomes vigorous
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Monitor fluctuations in the water-seal chamber
Clamp the chest tube once every shift
Encourage coughing and deep breathing
Milk the chest tube every 2 hours
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Call the physician
Place the tube in bottle of sterile water
Immediately replace the chest tube system
Place a sterile dressing over the disconnection site
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Encouraging the patient to drink three glasses of fluid daily
Keeping the patient in semi-Fowler’s position
Using a high-flow venture mask to deliver oxygen as prescribe
Administering a sedative. as prescribe
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Cardiogenic pulmonary edema
Respiratory alkalosis
Increased pulmonary capillary permeability
Renal failure
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