Exam 8: Hemodynamic Monitoring

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 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 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?

The nursing 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 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?

The nurse is caring for a patient with a left subclavian central venous catheter ( CVC )and a left radial arterial line.Which assessment finding by the nurse requires immediate action?

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 physician order is of the highest priority?

The nurse is caring for a patient with an arterial monitoring system.The nurse assesses the patient's noninvasive cuff blood pressure to be 70/40 mm Hg.The arterial blood pressure measurement via an intraarterial catheter in the same arm is assessed by the nurse to be 108/70 mm Hg.What is the best action by the nurse?

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?

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?

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?

While inflating the balloon of a pulmonary artery catheter ( PAC )with 1.0 mL of air to obtain a pulmonary artery occlusion pressure (PAOP),the nurse encounters resistance.What is the best nursing action?

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

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 for insertion of a pulmonary artery catheter ( PAC ).During insertion of the catheter,what are the priority nursing actions? (Select all that apply.)