A nurse caring for a client with a central venous catheter (CVC) enters the client's room and notes that the CVC is dislodged and lying in the client's bed linens. The client appears cyanotic and is tachypneic and diaphoretic. Which of the following actions by the nurse are appropriate? Select all that apply.
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| A. Administer oxygen via non-rebreather mask | ||
| B. Apply an occlusive dressing over the insertion site | ||
| C. Assist the client to high Fowler position | ||
| D. Monitor vital signs and respiratory effort | ||
| E. Notify the health care provider |
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