A client with a chest tube wishes to ambulate to the bathroom. What is the appropriate nursing response?<\/p>\n\n\n\n
A.
‘It is unnecessary for you to go to the restroom at this time.”<\/p>\n\n\n\n
B.
‘I can assist you to the bathroom and back to bed.”<\/p>\n\n\n\n
C.
‘I cannot assist you at this time, please wait until I finish what I\u2019m doing\u201d.<\/p>\n\n\n\n
D.
‘You cannot go to the bathroom.’<\/p>\n\n\n\n
The Correct answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n The correct answer is B: “I can assist you to the bathroom and back to bed.”<\/strong><\/p>\n\n\n\n When caring for a client with a chest tube, it\u2019s essential to ensure their safety and comfort while also addressing their needs. Chest tubes are placed to drain air or fluid from the pleural space and can be crucial for maintaining lung function. Ambulation can promote circulation and reduce the risk of complications such as pneumonia or deep vein thrombosis. However, it requires careful management.<\/p>\n\n\n\n Option A, “It is unnecessary for you to go to the restroom at this time,” dismisses the client’s request without providing an appropriate rationale. Clients should always feel that their needs and requests are valued, and it\u2019s essential to engage them in their care.<\/p>\n\n\n\n Option C, “I cannot assist you at this time, please wait until I finish what I\u2019m doing,” is also inadequate. This response neglects the client’s immediate need for assistance and may cause distress or frustration, impacting their trust in the nursing staff.<\/p>\n\n\n\n Option D, “You cannot go to the bathroom,” is overly restrictive and fails to recognize the client\u2019s autonomy. While there may be valid concerns regarding the safety and potential complications of ambulating with a chest tube, outright denial of their request can lead to feelings of helplessness or frustration.<\/p>\n\n\n\n In contrast, option B acknowledges the client’s desire to ambulate and offers support. Assisting the client to the bathroom not only facilitates their need but also allows for monitoring of their condition and the integrity of the chest tube during ambulation. The nurse should ensure that the tube\u2019s drainage system remains below the level of the chest, prevent kinking of the tubing, and monitor for any signs of distress during the process. This approach fosters a collaborative nurse-client relationship, enhances the client\u2019s sense of autonomy, and encourages mobility, which is beneficial for overall recovery.<\/p>\n","protected":false},"excerpt":{"rendered":" A client with a chest tube wishes to ambulate to the bathroom. What is the appropriate nursing response? A.‘It is unnecessary for you to go to the restroom at this time.” B.‘I can assist you to the bathroom and back to bed.” C.‘I cannot assist you at this time, please wait until I finish what […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-141488","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141488","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=141488"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141488\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=141488"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=141488"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=141488"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation:<\/h3>\n\n\n\n