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mariasmakatof mariasmakatof
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The nurse cares for a client who is sedated, intubated, mechanically ventilated, and has a central line. While repositioning the client, the central line is disrupted. Place the steps in correct order in response to the clinical scenario.
A) Place the client in supine position.
B) Clamp the affected lumen with a soft-tipped clamp.
C) Place a strip of tape over the catheter.
D) Notify the health care provider.

▸ A, C, B, D

▸ *
Textbook 
Clinical Nursing Skills: A Concept-Based Approach

Clinical Nursing Skills: A Concept-Based Approach


Edition: 3rd
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moyo966moyo966
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A, C, B, D

A) If a central line is disrupted, the nurse should first have the client perform the Valsalva maneuver. However, this client is unable to do so. In this case, the correct steps are as follows: place the client in supine position; place a strip of tape over the catheter; clamp the affected lumen with a soft-tipped clamp; notify the health care provider. 
B) If a central line is disrupted, the nurse should first have the client perform the Valsalva maneuver. However, this client is unable to do so. In this case, the correct steps are as follows: place the client in supine position; place a strip of tape over the catheter; clamp the affected lumen with a soft-tipped clamp; notify the health care provider.
C) If a central line is disrupted, the nurse should first have the client perform the Valsalva maneuver. However, this client is unable to do so. In this case, the correct steps are as follows: place the client in supine position; place a strip of tape over the catheter; clamp the affected lumen with a soft-tipped clamp; notify the health care provider.
D) If a central line is disrupted, the nurse should first have the client perform the Valsalva maneuver. However, this client is unable to do so. In this case, the correct steps are as follows: place the client in supine position; place a strip of tape over the catheter; clamp the affected lumen with a soft-tipped clamp; notify the health care provider.

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