A client receiving total parenteral nutrition (TPN) through a central line reports chest discomfort and mild dyspnea. The nurse notes a churning sound over the permanent pacemaker implantation (PMI) and tachycardia. Which action should the nurse take first?
A)Replace the tubing and the TPN solution immediately.
B)Clamp the central catheter and place the client on the left side with the head lower than the body.
C)Start oxygen by mask to reduce the hypoxia and notify the primary health-care provider immediately.
D)Assess the client for cough and cyanosis while evaluating the central catheter site for signs of infection.

Question

Quizplus · Accepted Answer

Clamping the central catheter and positioning the client on the left side with the head lower than the body (Trendelenburg position) is the first action the nurse should take in response to symptoms that suggest an air embolism, a potential complication of central line use. This position helps to trap air in the apex of the right atrium, reducing the risk of it moving to the lungs and causing more severe complications.

A Client Receiving Total Parenteral Nutrition (TPN) Through a Central