{"id":610,"date":"2021-03-17T16:07:00","date_gmt":"2021-03-17T16:07:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=610"},"modified":"2026-03-20T13:52:28","modified_gmt":"2026-03-20T21:52:28","slug":"nclex-question-of-the-day-chest-pain-after-venous-catheter-removal","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-chest-pain-after-venous-catheter-removal","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Chest pain after venous catheter removal"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-chest-pain-after-venous-catheter-removal\/#The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\" >The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-chest-pain-after-venous-catheter-removal\/#Ready_to_put_your_nursing_knowledge_to_the_test\" >Ready to put your nursing knowledge to the test?<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-chest-pain-after-venous-catheter-removal\/#Major_Takeaway\" >Major Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-chest-pain-after-venous-catheter-removal\/#Incorrect_Answer_Explanations\" >Incorrect Answer Explanations<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-chest-pain-after-venous-catheter-removal\/#Reference\" >Reference<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong><em>Today&#8217;s NCLEX-RN\u00ae question of the day focuses on a patient who is experiencing problems during the removal of a peripherally inserted central venous catheter. What is the first thing a nurse should do?<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">During the removal of a peripherally inserted central venous catheter, the client becomes short of breath and reports chest pain. Which action should the nurse implement&nbsp;<strong>first<\/strong>?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Place the client on their right side<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Call the health care provider immediately<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C.&nbsp;Administer oxygen by face mask<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Administer the prescribed analgesic<\/strong>Scroll down for the correct answer!<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-rich is-provider-embed-handler wp-block-embed-embed-handler wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Nurses Learn by Osmosis.org\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/kGJCkPfFypA?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.osmosis.org\/plans\" target=\"_blank\" rel=\"noreferrer noopener\"><u><em><strong>\u2192 Reinforce your understanding with more self-assessment items on Osmosis.<\/strong>&nbsp;<\/em><\/u><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C.\u00a0Administer oxygen by face mask<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>Air embolism, which refers to the entry of air into a client\u2019s circulatory system, is a potentially fatal complication during central line removal. It can present as chest pain, dyspnea, and&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Hypotension\" target=\"_blank\" rel=\"noreferrer noopener\">hypotension<\/a>. During catheter removal, the client should be instructed to do a Valsalva maneuver to prevent the entry of air into the circulatory system. Other ways to help prevent an&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Pulmonary_embolism\" target=\"_blank\" rel=\"noreferrer noopener\">air embolism<\/a>&nbsp;is to remove the catheter during expiration. If an air embolism is suspected, oxygen should be administered and the client should be positioned on the left side in the Trendelenburg position.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Ready_to_put_your_nursing_knowledge_to_the_test\"><\/span><em>Ready to put your nursing knowledge to the test?<\/em><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Explore the&nbsp;<strong><a href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-smarter-prep-better-results\" target=\"_blank\" rel=\"noreferrer noopener\">NCLEX\u00ae Question of the Day: Smarter Prep, Better Results<\/a><\/strong>&nbsp;page to practice with NCLEX-style questions and boost your confidence before exam day.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span>Major Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">When an air embolism is suspected, oxygen should be administered and the client should be positioned on the left side in Trendelenburg position.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_Answer_Explanations\"><\/span>Incorrect Answer Explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Place the client on their right side<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong>&nbsp;A client with a suspected air embolism should be placed on their left side in Trendelenburg position to try to prevent potential emboli from traveling through the right side of the heart and into the pulmonary artery.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Call the health care provider immediately<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong>&nbsp;Although contacting the health care provider is indicated, it is not the priority action.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Administer the prescribed analgesic<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong>&nbsp;Although the client is experiencing pain, administering an analgesic is not the priority action and could contribute to further respiratory distress.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Reference\"><\/span>Reference<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lewis, S. L., Dirksen, S. R., Heitkemper, M. M. &amp; Bucher, L. (2017).\u00a0<em>Medical-surgical nursing: Assessment and management of clinical problems\u00a0<\/em>(10th ed.)<em>.\u00a0<\/em>St. Louis, MO: Elsevier Mosby.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/03\/Blog_Display_Ads_RN1_2023.png?w=700\" alt=\"\" class=\"wp-image-5423\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/03\/Blog_Display_Ads_RN1_2023.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/03\/Blog_Display_Ads_RN1_2023.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><figcaption class=\"wp-element-caption\">NCLEX-RN\u00ae and NCLEX-PN\u00ae are registered trademarks of the National Council of State Boards of Nursing, Inc (NCSBN\u00ae). Osmosis is not affiliated with NCSBN.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Want more NCLEX\u00ae-style practice questions? Try Osmosis today! Access your\u00a0<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>\u00a0and find out why millions of current and future clinicians and caregivers love learning with us.<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A patient experiences chest pain and shortness of breath during catheter removal. What is the nurse\u2019s first priority intervention?<\/p>\n","protected":false},"author":279,"featured_media":611,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[20,29,1367,32],"tags":[1879,1880,1856,369,244,1029,245,1881,732,1882],"class_list":["post-610","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-nursing","tag-air-embolism","tag-central-venous-catheter","tag-chest-pain","tag-emergency-nursing","tag-nclex-rn","tag-nursing-care","tag-nursing-education","tag-oxygen-therapy","tag-respiratory-distress","tag-trendelenburg-position"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: Chest pain after venous catheter removal - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-chest-pain-after-venous-catheter-removal\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: Chest pain after venous catheter removal - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"A patient experiences chest pain and shortness of breath during catheter removal. 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