The nurse caring for a client with IV access accidentally infuses an air embolism. Which is the highest-priority action of the nurse?
1. Notifying the health care provider
2. Notifying the charge nurse
3. Assessing the client
4. Positioning the client in left Trendelenburg and applying oxygen
Correct Answer: 4
Lowering the head of the bed increases intrathoracic pressure, decreasing the flow of air into the vein during inhalation. A left side-lying position helps prevent air from moving into the pulmonary artery. Oxygen helps to hyperoxygenate the tissues if the air embolism reduces blood flow to the tissues. The other actions, although necessary, take far lower priority.
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