Practice Quiz

Vascular Access Exam Prep

Category - Vascular Access Practice Test

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An elderly client admitted in the intensive care unit suddenly experienced acute respiratory distress. This occurred while the nurse was infusing the IV meds via central line. Before placing the client on 100% oxygen, the nurse should first:
  1. Discontinue the IV infusion.
  2. Place the client in a left lateral position.
  3. Place the client in a Trendelenburg’s position.
  4. Ask permission from the physician to remove the catheter.
Explanation
Answer: A - The initial action is to discontinue the infusion, clamp the IV tubing and place the client in a left lateral position or Trendelenburg’s position. This allows the air to float towards the upper part of the atria which relieves obstruction in the blood vessels and the lungs. The catheter should not be removed. Start 100 % oxygen to remove the nitrogen in the blood.
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