Following insertion of a peripheral vascular device, the patient immediately complains of shortness of breath, chest pain, and palpitations. What is the nurse's initial intervention?
1. Obtain radiographic studies.
2. Notify the physician.
3. Place a tourniquet proximal to the site.
4. Obtain vital signs.
3
Rationale 1: Radiographic studies may be indicated, but this is not the initial intervention.
Rationale 2: The physician should be notified, but this is not the initial intervention.
Rationale 3: If a catheter embolism is suspected, immediate interventions must be initiated; the nurse would secure a tourniquet on the patient's arm to minimize movement of the catheter.
Rationale 4: Vital signs should be obtained, but this is not the initial intervention.
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