A nurse is caring for a client who has a central venous catheter and develops acute shortness of breath. Which of the following actions should the nurse take first?

Clamp the catheter.

Position the client in left lateral Trendelenburg.

Auscultate breath sounds.

Initiate oxygen therapy.

Answer and Explanation

The Correct Answer is A

Acute shortness of breath in a client with a central venous catheter could be secondary to various respiratory complications such as pulmonary embolism and pneumothorax. Taking the appropriate action requires a quick assessment through auscultation as the emergency management of the various complications is different.
A. This is the immediate action to prevent more air from entering the venous system.
B. The left lateral trendelenburg position is relevant in hypotension but not a priority action.

C. uscultating breath sounds is an important assessment, especially if the cause of the shortness of breath is unclear. It can help identify wheezing, crackles, or absence of breath sounds, which may suggest conditions like pneumothorax, pulmonary embolism, or infection. However, while auscultation is an important diagnostic step, it is typically done after initial interventions (such as positioning or administering oxygen) to stabilize the client.
D. Initiating oxygen therapy is important in cases of respiratory distress but assessment is priority in this case

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Correct Answer is D

Explanation

The regular insulin should be administered subcutaneously about 30 mins before the client take their meals. This is because the insulin has a short onset of action. The peak time (30 mins after injection) should match the eating time provide optimum sugar control

B Arrival of the tray does not provide an exact time account to help match the peak time with meal time

C regular insulin should be given before meals

A. Drink a glass of water after taking the medication, B. Reduce sodium intake. C. Take the medication with dairy products to increase absorption. D. Decrease bulk in the diet to counteract the adverse effect of diarrhea.

Correct Answer is A

Explanation

Calcium carbonate antacids should be taken with a full glass of water to ensure proper dissolution of the tablets and facilitates the absorption of calcium. Also, drinking water can help prevent potential side effects such as constipation, which can occur with the use of calcium carbonate antacids.
B. There is no need to reduce sodium intake specifically due to taking calcium carbonate antacids.
C. While calcium can be absorbed more efficiently when taken with food, it is not necessary to take calcium carbonate antacids with dairy products.
D. Increasing bulk in the diet is generally recommended for managing diarrhea, but not directly related to calcium carbonate antacids.

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A nurse is caring for a client who has a central venous catheter and develops acute shortness of breath. Which of the following actions should the nurse take first?

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