Crucial Exams

NCLEX RN Practice Question

A nurse is caring for a client receiving intravenous nutritional therapy via a central catheter. The client suddenly reports difficulty breathing and is observed to have distended neck veins and cyanosis. What is the first action the nurse should take?

  • Administer oxygen and encourage the client to take deep breaths while monitoring closely.

  • Encourage the client to lie flat and take deep breaths to improve their breathing symptoms.

  • Continue the infusion, notify the healthcare provider, and monitor the client for further changes.

  • Stop the infusion, position the client on their left side with the head lowered, and administer oxygen.

NCLEX RN
Physiological Integrity
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