Question

The nurse is preparing to change the parenteral nutrition (PN) solution bag and tubing. The client's central venous line is located in the right subclavian vein. The nurse asks the client to take which essential action during the tubing change?

a.Turn to the left side
b.Take a deep breath and hold it
c.Stay perfectly still with the head slightly turned to the left
d.Maintain an upright sitting position

Answer 1

Final answer:

The nurse should ask the client to stay perfectly still with the head slightly turned to the left during the tubing change.

Step-by-step explanation:

When changing the parenteral nutrition (PN) solution bag and tubing for a client with a central venous line in the right subclavian vein, it is crucial to minimize the risk of complications. The correct action for the client during the tubing change is to stay perfectly still with the head slightly turned to the left. This positioning helps maintain the stability of the central venous line and reduces the likelihood of accidental dislodgement or complications associated with the procedure.

The central venous line, being in the right subclavian vein, is particularly sensitive to movement and changes in body position. Any sudden movements or changes in position can lead to catheter displacement, air embolism, or other complications. Therefore, instructing the client to stay still with the head slightly turned to the left ensures the safety and integrity of the central venous line during the procedure.

It's important for the nurse to provide clear instructions to the client and ensure their understanding of the importance of maintaining stillness during the tubing change. This precautionary measure contributes to the overall safety and effectiveness of parenteral nutrition administration through the central venous line.