{"id":142291,"date":"2024-09-21T18:26:13","date_gmt":"2024-09-21T18:26:13","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=142291"},"modified":"2024-09-21T18:26:16","modified_gmt":"2024-09-21T18:26:16","slug":"a-nurse-is-caring-for-a-client-following-insertion-of-a-subclavian-nontunneled-percutaneous-central-venous-catheter-cvc","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/21\/a-nurse-is-caring-for-a-client-following-insertion-of-a-subclavian-nontunneled-percutaneous-central-venous-catheter-cvc\/","title":{"rendered":"A nurse is caring for a client following insertion of a subclavian nontunneled percutaneous central venous catheter (CVC)."},"content":{"rendered":"\n<p>A nurse is caring for a client following insertion of a subclavian nontunneled percutaneous central venous catheter (CVC). The provider writes a prescription to initiate an IV infusion of Ringer&#8217;s lactate at 150 mL per hr. Prior to starting the infusion, which of the following actions should the nurse take?<\/p>\n\n\n\n<p>A.<br>Apply oxygen at 3 L\/min per nasal cannula.<\/p>\n\n\n\n<p>B.<br>Review the chest x-ray report.<\/p>\n\n\n\n<p>C.<br>Flush the catheter with sterile water.<\/p>\n\n\n\n<p>D.<br>Obtain a peripheral blood glucose level.<\/p>\n\n\n\n<p><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-1-color\">The Correct answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n<p>The correct answer is <strong>B. Review the chest x-ray report.<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Explanation:<\/h3>\n\n\n\n<p>When a nurse is caring for a client following the insertion of a subclavian nontunneled percutaneous central venous catheter (CVC), it is critical to ensure the correct placement of the catheter before initiating any intravenous (IV) infusions. A chest x-ray is typically performed post-insertion to confirm that the CVC is in the proper position in the superior vena cava and to rule out any potential complications, such as a pneumothorax or hemothorax, which can occur during the procedure.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Rationale for Other Options:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A. Apply oxygen at 3 L\/min per nasal cannula.<\/strong> While oxygen may be necessary for clients experiencing respiratory distress, it is not a routine precaution specifically related to the insertion of a central venous catheter unless the client exhibits signs of hypoxia or respiratory compromise. Thus, this action is not the priority in this context.<\/li>\n\n\n\n<li><strong>C. Flush the catheter with sterile water.<\/strong> Flushing a central venous catheter is indeed important to ensure patency, but it should typically be done with a sterile saline solution rather than sterile water. Additionally, this action should be performed after confirming catheter placement to avoid complications.<\/li>\n\n\n\n<li><strong>D. Obtain a peripheral blood glucose level.<\/strong> This action may be necessary for certain clients, particularly those with diabetes or those receiving IV fluids containing dextrose. However, it does not address the immediate concern of verifying the catheter&#8217;s placement, which is crucial for the safe initiation of IV therapy.<\/li>\n<\/ul>\n\n\n\n<p>In summary, the most important step before starting the IV infusion of Ringer&#8217;s lactate is to <strong>review the chest x-ray report<\/strong> to ensure the CVC is correctly placed and to avoid potential complications, thus prioritizing patient safety and effective care.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse is caring for a client following insertion of a subclavian nontunneled percutaneous central venous catheter (CVC). The provider writes a prescription to initiate an IV infusion of Ringer&#8217;s lactate at 150 mL per hr. Prior to starting the infusion, which of the following actions should the nurse take? A.Apply oxygen at 3 L\/min [&hellip;]<\/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-142291","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142291","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=142291"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142291\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=142291"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=142291"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=142291"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}