NCLEX-RN

Category - Pharmacological

A client with TPN is suspected of having an air embolism after the tubing has been disconnected from the central line catheter. The immediate action of the nurse is to:
  1. Notify the physician
  2. Discontinue the TPN
  3. Instruct the client to take a deep breath, hold it, and bear down
  4. Position the client on the left side with the head lower than the feet
Explanation
Answer: D - The client must be turned to the left side if air embolism is suspected. The head is positioned lower than the feet. The other options are not applicable to this case.
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