A client has consented to have a central venous catheter placed. The best position in which to place the client is the Trendelenburg position. The reason is that the Trendelenburg position:

Question

Options

• AAllows the physician to visualize the subclavian vein
• BReduces the possibility of air embolism
• CReduces the possibility of hematoma formation
• DMakes the procedure more comfortable for the client

• A
  18% (5)
• B
  71% (20)
• C
  7% (2)
• D
  4% (1)

Explanation

(A) The subclavian vein is not visible during central line insertion regardless of the client's (B) The Trendelenburg position reduces the possibility of air embolism because it places slight positive pressure on the central veins. It also distends the veins, and distention facilitates (C) This response is untrue; it has no effect on hematoma formation. (D) This position is not necessarily more comfortable for the client, and many clients, especially those who may be short of breath, may find the position uncomfortable and difficult to maintain.

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