A Client Receiving Total Parenteral Nutrition (TPN) Through a Central

Multiple Choice

A client receiving total parenteral nutrition (TPN) through a central line reports chest discomfort and mild dyspnea. The nurse notes a churning sound over the permanent pacemaker implantation (PMI) and tachycardia. Which action should the nurse take first?

A) Replace the tubing and the TPN solution immediately.
B) Clamp the central catheter and place the client on the left side with the head lower than the body.
C) Start oxygen by mask to reduce the hypoxia and notify the primary health-care provider immediately.
D) Assess the client for cough and cyanosis while evaluating the central catheter site for signs of infection.