The Nurse Is Caring for a Patient Following Insertion of a Left

question 12

Multiple Choice

The nurse is caring for a patient following insertion of a left subclavian central venous catheter ( CVC ) .Which assessment finding 2 hours after insertion by the nurse warrants immediate action?

• A) Diminished breath sounds over left lung field
• B) Localized pain at catheter insertion site
• C) Measured central venous pressure of 5 mm Hg
• D) Slight bloody drainage around insertion site

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Definitions:

Perceptual Process

The sequence of steps through which individuals receive, organize, and interpret sensory information from their environment.

Distortions

Alterations or misrepresentations of reality or information, often leading to inaccuracies in communication and perception.

Disruptive Behaviors

Actions that significantly impede the normal operations or activities in a workplace or learning environment.

Law of Effect

A principle suggesting that behaviors followed by positive outcomes are likely to be repeated, while those followed by negative outcomes are not.