The nurse is measuring central venous pressure readings for a client receiving fluid resuscitation. Prior to obtaining the reading, what priority nursing action is required?
A) Have the head of the bed at 90°.
B) Ensure the level of the transducer is at the level of the right atrium.
C) Ensure the transducer is above the level of the heart.
D) Ensure the transducer is 2 inches below the level of the heart.
B
Feedback:
When measuring CVP, the nurse makes sure that the transducer is at the level of the client's right atrium; otherwise, an incorrect reading is obtained. The client is position supine or with the head slightly elevated but in exactly the same position as during previous measurements. Between CVP measurements, the head of the bed can be raised or lowered.
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