Exam 8: Basic Hemodynamic Monitoring

While evaluating a patient's pulmonary artery waveforms,the nurse notes a sudden onset of right ventricular waves.Which nursing intervention is indicated?

The nurse is preparing to use the intermittent fluid bolus thermodilution method to obtain the patient's cardiac output via the pulmonary artery (PA)catheter.Which nursing action is indicated?

The nurse is assessing a patient's arterial waveform and notes a notch on the descending portion of the waveform.The nurse associates this notch with which physiological events? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

While caring for a patient being hemodynamically monitored,the nurse notices that the systemic vascular resistance has risen to 1800 dynes/sec/cm⁵,whereas the patient's cardiac output remains at 6 liters per minute.What would the nurse expect the patient's blood pressure to be?

A patient with congestive heart failure is receiving scheduled doses of an intravenous diuretic.After administering the drug,which finding would indicate to the nurse that the drug was effective?

The nurse is caring for a patient who is being monitored with a pulmonary artery catheter.Which change requires immediate intervention?

The nurse is caring for a patient whose pulmonary artery wedge pressure (PAWP)is 16 mmHg.The patient's neck veins are distended,lungs have crackles,and an S4 gallop is audible.Which intervention would the nurse anticipate?

A patient who has a radial artery catheter in place is complaining of numbness and tingling in the fingers.What is the nurse's priority assessment?

A patient is being prepared for impedance cardiography.Which information will the nurse provide?

A patient who was stabbed multiple times in the chest and abdomen has just returned from emergency surgery.Hemodynamic monitoring was initiated during surgery and now reveals that the patient's right atrial pressure has dropped to 2 mmHg.The nurse would assess for findings of which conditions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

While assisting with insertion of a central line,the nurse notes bright red blood flashing back into the tubing.The physician inserting the device removes it immediately.Which nursing action is indicated?

A patient who has a pulmonary artery catheter in place is to receive the drug nitroprusside (Nipride).The nurse would assess for which indicator of the drug's effectiveness?

The nurse is reviewing the results of a patient's cardiac output curve and notes that the size of the curve is small.Which of the following does this finding indicate?

The nurse is performing an assessment on a patient whose right atrial pressure is 12 mmHg.Which findings would the nurse anticipate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Which nursing actions are necessary to collect information needed to figure the patient's cardiac index? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient is admitted for evaluation of hypotension.Which assessment by the nurse would require immediate attention?

Which nursing interventions are indicated when measuring pulmonary artery wedge pressure (PAWP)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient is admitted to the emergency department after fainting.Vital signs are blood pressure 86/60,heart rate 160 bpm,and respirations 20.The patient's skin is cool to the touch.The nurse suspects which underlying problem?

The preceptor nurse is assisting a newly hired nurse with completion of hemodynamic assessment using a pulmonary artery catheter.Which action would require the preceptor to intervene?

The nurse is caring for a patient with sepsis.On completing the hemodynamic assessment,the nurse notes that the patient's afterload,measured by the systemic vascular resistance,is 400 dynes/sec/cm^-5.The nurse evaluates this finding to be primarily the result of which change associated with sepsis?