Question

To begin the administration of total parenteral nutrition (TPN), a client has a right subclavian central venous access device inserted. Immediately after insertion of the catheter, what is the priority nursing action?
1. Obtain a chest x-ray to determine placement.
2. Auscultate the lungs to evaluate breath sounds.
3. Draw a blood sample to assess blood glucose level.
4. Assess the right upper extremity for neurologic deficits."

Answer 1

Answer:

1. Obtain a chest x-ray to determine placement.

Explanation:

The priority nursing action is to obtain a chest x-ray to determine if the device is inserted correctly to start with, the administration of total parenteral nutrition. If the x-ray shows that the device is not inserted correctly this should be removed and a new insertion should be made.