Which nursing instruction is given to the patient whose central venous catheter will be removed?
1. "Take a deep breath.".
2. "Roll over to your left side.".
3. "Use this gauze to apply pressure over the insertion site.".
4. "Place your hand over your head as I remove this line.".
1
Rationale 1: The nurse removes the catheter when the patient takes a deep breath to decrease the chances of air embolism.
Rationale 2: There is no reason for the patient to roll to the left side.
Rationale 3: It is the nurse's responsibility to apply pressure over the insertion site.
Rationale 4: There is no benefit in the patient placing the hand over the head during removal of a central line.
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