Exam 8: Hemodynamic Monitoring

The nurse is preparing to obtain a pulmonary artery occlusion pressure (PAOP)reading for a patient who is mechanically ventilated.Ensuring that the air-fluid interface is at the level of the phlebostatic axis,what is the best nursing action?

While caring for a patient with a small bowel obstruction,the nurse assesses a pulmonary artery occlusion pressure (PAOP)of 1 mm Hg and hourly urine output of 5 mL.The nurse anticipates which therapeutic intervention?

The nurse is caring for a patient with an admitting diagnosis of congestive heart failure.While attempting to obtain a pulmonary artery occlusion pressure in the supine position,the patient becomes anxious and tachypneic.What is the best action by the nurse?

The nurse is educating a patient's family member about a pulmonary artery catheter (PAC).Which statement by the family member best indicates understanding of the purpose of the PAC?

The nurse is caring for a mechanically ventilated patient with a pulmonary artery catheter who is receiving continuous enteral tube feedings.When obtaining continuous hemodynamic monitoring measurements,what is the best nursing action?

During insertion of a pulmonary artery catheter,the provider asks the nurse to assist by inflating the balloon with 1.5 mL of air.As the provider advances the catheter,the nurse notices premature ventricular contractions on the monitor.What is the best action by the nurse?

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?

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

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?

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 charge nurse has a pulse contour cardiac output monitoring system available for use in the surgical intensive care unit.For which patient is use of this device most appropriate?

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?

Which nursing actions are most important for a patient with a right radial arterial line?

The nurse is caring for a patient with a pulmonary artery catheter.Assessment findings include a blood pressure of 85/40 mm Hg,heart rate of 125 beats/min,respiratory rate 35 breaths/min,and arterial oxygen saturation (SpO₂)of 90% on a 50% Venturi mask.Hemodynamic values include a cardiac output (CO)of 1.0 L/min,central venous pressure (CVP)of 1 mm Hg,and a pulmonary artery occlusion pressure (PAOP)of 3 mm Hg.The nurse questions which of the following physician's orders?

While caring for a patient with a pulmonary artery catheter,the nurse notes the pulmonary artery occlusion pressure (PAOP)to be significantly higher than previously recorded values.The nurse assesses respirations to be unlabored at 16 breaths/min,oxygen saturation of 98% on 3 L of oxygen via nasal cannula,and lungs clear to auscultation bilaterally.What is the priority nursing action?