[Answered]: A portable chest x-ray was performed, which revealed…

A portable chest x-ray was performed, which revealed a left-sided pneumothorax. The nurse notified the provider of the results. A chest tube has been inserted into the child’s left chest wall and is connected to a closed drainage system. Jack verbalizes some relief of the shortness of breath. He reports a pain level of 5 on a scale of 0-10 at the chest tube insertion site. Vital signs are temperature 38.1deg C (100.6deg F), pulse 98/min, respirations 20/min, pulse oximeter 98% on 3 L/min of oxygen via nasal canula. No retractions observed. Lung sounds remain diminished in left lobe. Which of the following actions should the nurse plan to take? (Select all that apply.) Maintain the chest drainage system below the level of the chest. Reassure Jack that he can lay on his left side if desired. Request a prescription for ketorolac. Discontinue ACT while the chest tube is in place. Clamp the chest tube for 20 minutes once every 4 hours