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Leave the nail file exactly where it is. The doctor will have to either examine the patient to determine the best way to remove the file, or he will have to have the patient x-rayed first. Otherwise, it could be fatal for the patient, depending on where in the chest the nail file is stuck.

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Q: Patient brought to the ER with the handle of a nail file sticking part way out of the chest what are the nurse's actions?
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