The licensed practical nurse is observing a graduate nurse as she assesses the central venous pressure. Which observation would indicate that the graduate needs further teaching? A... The licensed practical nurse is observing a graduate nurse as she assesses the central venous pressure. Which observation would indicate that the graduate needs further teaching? A: The graduate places the client in a supine position to read the manometer. B: The graduate turns the stop-cock to the off position from the IV fluid to the client. C: The graduate instructs the client to perform the Valsalva maneuver during the CVP reading. D: The graduate notes the level at the top of the meniscus.
Understand the Problem
The question is asking for guidance regarding nursing assessments, prioritization of care in emergency situations, and client education related to specific medical conditions. It aims to determine the correct course of action in various nursing scenarios.
Answer
Instructing to perform the Valsalva maneuver during CVP reading is incorrect.
The observation indicating the graduate nurse needs further teaching is instructing the client to perform the Valsalva maneuver during the CVP reading.
Answer for screen readers
The observation indicating the graduate nurse needs further teaching is instructing the client to perform the Valsalva maneuver during the CVP reading.
More Information
The Valsalva maneuver can artificially alter central venous pressure readings, making it an inappropriate instruction during measurement.
Tips
Avoid instructing clients to perform maneuvers that can affect pressure readings during CVP assessment.
Sources
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