Free NCLEX RN Practice Questions Practice Question
A client has a CVP monitor in place. Which would be included in the nursing care plan for this client?
Correct Answer: A
Rationale: Option A is essential as it emphasizes the importance of monitoring and reporting abnormal CVP readings, which can indicate critical changes in a patient's hemodynamic status.
Option B is incorrect; a sterile technique is required when changing the dressing at the insertion site to prevent infection.
Option C is also wrong; elevating the head of the bed to 90° can affect CVP readings. The head should typically be elevated to 30-45° for accurate measurements.
Option D misrepresents proper technique; the zero reference point should align with the right atrium, not the right clavicle, to ensure accurate CVP readings.
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