A 60-year-old patient is having a central line inserted because he needs parenteral nutrition.

A 60-year-old patient is having a central line inserted because he needs parenteral nutrition.

A 60-year-old patient is having a central line inserted because he needs parenteral nutrition.

A 60-year-old patient is having a central line inserted because he needs parenteral nutrition. The patient is awake and talking to the nurse before the procedure begins. He states he has had central lines in the past and that he “knows what to expect.” About halfway through the insertion, the patient begins to complain of difficulty breathing and chest pain. His oxygen saturation level drops to 88%, and his breathing is labored.

Identify the priority clinical problem(s) in the case study. List 2
How should the nurse respond to the patient’s complaints?
The patient was evaluated after the symptoms, and a new central line was inserted without issue. The patient is NPO and is currently receiving parenteral nutrition via the central line. The nurse enters the room to assess him and observes the patient rubbing his ribs on the right side. Is this action of any concern to the nurse? Why or Why not ? Give 2 rationales
What are the benefits for the patient receiving parenteral nutrition via the central line ?
What labs /diagnostics should be included for this patient . List 3-4.

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Answer preview to a 60-year-old patient is having a central line inserted because he needs parenteral nutrition.

A 60-year-old patient is having a central line inserted because he needs parenteral nutrition.

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