Question

A nurse is preparing to assist with the insertion of a non-tunneled percutaneous central venous catheter into a client's subclavian vein the nurse should plan to place the client in which of the following positions?

A. Supine with head turned to the left
B. Fowler's position
C. Trendelenburg position
D. Semi-Fowler's position

Answer 1

The nurse should place the client in the Trendelenburg position for the insertion of a central venous catheter into the subclavian vein to facilitate the procedure by enhancing venous return.

Step-by-step explanation:

When preparing to assist with the insertion of a non-tunneled percutaneous central venous catheter into a client's subclavian vein, the nurse should plan to place the client in the Trendelenburg position. This position involves having the client lie on their back with the body tilted so that the head is lower than the feet. This positioning uses gravity to help drain blood from the upper body and increase venous return to the heart, which can facilitate the insertion of the catheter into the subclavian vein. The subclavian vein is a key component of the venous system responsible for draining blood from the upper extremities and the head via the external and internal jugular veins, as well as from the chest wall via the internal thoracic vein before it enters into the brachiocephalic vein and ultimately the superior vena cava.