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:

Urine Formation

The process of filtering blood and removing waste products and excess substances to produce urine.

Nephridium

Of some invertebrates, an organ that takes up body fluid and expels excess water and solutes through a pore at the body surface.

Flatworms

These are a group of invertebrate animals belonging to the phylum Platyhelminthes, known for their flat, bilateral bodies and lack of body cavity.

Excess Water

A surplus amount of water in an area or system, which can result from heavy rainfall, flooding, or inadequate drainage.