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

1
Perform the Valsalva maneuver as the catheter is advanced
2
Turn his head to the left side and hyperextend the neck
3
Take slow, deep breaths as the catheter is removed
4
Turn his head to the right while maintaining a sniffing position

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