The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal the nurse should instruct the client to:

Perform the Valsalva maneuver as the catheter is advancedTurn his head to the left side and hyperextend the neckTake slow deep breaths as the catheter is removedTurn his head to the right while maintaining a sniffing position

Explanation.

The client who is having a central venous catheter removed should be told to hold his breath and bear down. This prevents air from entering the line. Answers B C and D will not facilitate removal.