Exam 8: Hemodynamic Monitoring

The nurse is preparing to obtain a right atrial pressure (RAP/CVP)reading.What are the most appropriate nursing actions? (Select all that apply.)

The nurse is caring for a 100-kg patient being monitored with a pulmonary artery catheter.The nurse assesses a blood pressure of 90/60 mm Hg,heart rate 110 beats/min,respirations 36/min,oxygen saturation of 89% on 3 L of oxygen via nasal cannula.Bilateral crackles are audible upon auscultation.Which hemodynamic value requires immediate action by the nurse?

Following insertion of a pulmonary artery catheter ( PAC ),the provider requests the nurse obtain a blood sample for mixed venous oxygen saturation ( SvO₂ ).Which action by the nurse best ensures the obtained value is accurate?

Following insertion of a central venous catheter,the nurse obtains a stat chest x-ray film to verify proper catheter placement.The radiologist reports to the nurse: "The tip of the catheter is located in the superior vena cava." What is the best interpretation of these results by the nurse?

The nurse is preparing to measure the thermodilution cardiac output (TdCO)in a patient being monitored with a pulmonary artery catheter.Which action by the nurse best ensures the safety of the patient?

The nurse is caring for a mechanically ventilated patient being monitored with a left radial arterial line.During the inspiratory phase of ventilation,the nurse assesses a 20 mm Hg decrease in arterial blood pressure.What is the best interpretation of this finding by the nurse?

The charge nurse is supervising the care of four critical care patients being monitored using invasive hemodynamic modalities.Which patient should the charge nurse evaluate first?

When performing an initial pulmonary artery occlusion pressure (PAOP),what are the best nursing actions? (Select all that apply.)

Which of the following situations may result in a low cardiac output and low cardiac index? (Select all that apply.)

After pulmonary artery catheter insertion,the nurse assesses a pulmonary artery pressure of 45/25 mm Hg,a pulmonary artery occlusion pressure (PAOP)of 20 mm Hg,a cardiac output of 2.6 L/min and a cardiac index of 1.9 L/min/m².Which provider order is of the highest priority?

A patient is admitted to the hospital with multiple trauma and extensive blood loss.The nurse assesses vital signs to be BP 80/50 mm Hg,heart rate 135 beats/min,respirations 36 breaths/min,cardiac output (CO)of 2 L/min,systemic vascular resistance of 3000 dynes/sec/cm-?,and a hematocrit of 20%.The nurse anticipates administration of which the following therapies or medications?

The nurse is caring for a patient who has had an arterial line inserted.To reduce the risk of complications,what is the priority nursing intervention?

The nurse is caring for a 70-kg patient in septic shock with a pulmonary artery catheter.Which hemodynamic value indicates an appropriate response to therapy aimed at enhancing oxygen delivery to the organs and tissues?

The nurse is caring for a patient following insertion of a left subclavian central venous catheter ( CVC ).Which action by the nurse best reduces the risk of catheter-related bloodstream infection ( CRBSI )?

The nurse is caring for a patient with a left radial arterial line and a pulmonary artery catheter inserted into the right subclavian vein.Which action by the nurse best ensures the safety of the patient being monitored with invasive hemodynamic monitoring lines?