medium · NCLEX-RN risk-reduction

Following a difficult CVC insertion attempt at 14:00, a client reports sudden pleuritic chest pain. At 14:15, the RN notes RR 28/min and diminished breath sounds on the affected side.

Which is the safest interpretation of these findings?

  1. The client has likely developed an iatrogenic pneumothorax from the procedure
  2. The client is experiencing expected post-procedural anxiety and splinting.
  3. The catheter tip has caused a pulmonary infarction from embolization
  4. The client has developed hospital-acquired pneumonia in the lower lobe.

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