Hemodynamic NCLEX Exam_2020 | Hemodynamic NCLEX Exam_100% CORRECT

Hemodynamic NCLEX Exam_2020 A client in the ICU has an abnormal pulmonary artery wedge pressure. What should the nurse do? Retake the measurement and Look at this finding in relation to other measurements. 1. The nurse has just measured a client's cardiac output using the thermodilution method. The findings show a notched, uneven curve. What should the nurse do with these results? Repeat the measurement. A small curve indicates a high CO, a large curve indicates a low CO, and a notched or uneven curve indicates a poor injection technique and should be repeated. 2. A client is having a continuous cardiac output pulmonary artery catheter placed. Which of the following would be indicated for this client? The cardiac output measurements will change according to the measuring device's findings and the findings from this catheter are consistently accurate. 3. The nurse is planning the care for a client with an elevated right atrial pressure. Which of the following should be included in this plan of care? Administer vasodilating medications as prescribed and Monitor intake and output. Care is directed toward optimizing preload by reducing volume. Overall goals are to decrease venous return to the right heart, increase contractility, and decrease the workload of the heart. Preload can be reduced by fluid and sodium restrictions and the administration of diuretics or vasodilating medications. Nursing care should include intake and output, daily weights, dietary consult for any restrictions, and medication teaching to enhance adherence. 4. During the review of a client's hemodynamic measurements the nurse sees a right ventricular waveform. What should the nurse do for this client? Notify the physician for repositioning. 5. While monitoring a client's pulmonary artery pressure the nurse sees a distinct notch in the waveform. What should the nurse do about this finding? Nothing. This is a normal finding. The pulmonary artery waveform has a characteristic pattern consisting of a steep upstroke and a downstroke that is distinguished by a dicrotic notch formed by the closure of the pulmonic valve. 6. The nurse is planning the care of a client with an elevated pulmonary artery systolic pressure. What should be included in this plan of care? Administer diuretics as prescribed and Monitor intake and output. Interventions are determined by the cause. Reduce preload by administering diuretcs and imposing fluid and sodium restrictions. The use of inotropic medications might be prescribed. An intraaortic balloon pump might be indicated. Nursing care should also include measuring intake and output and daily weights. Activities should be planned around rest periods. 7. A client in the ICU has an elevated pulmonary artery wedge pressure. What should be included in this client's plan of care? Monitor intake and output. Interventions are directed toward optimizing preload by administering diuretics, vasodilators, nitrates, ACE inhibitors, and inotropics. Sodium and fluid restrictions are also indicated. Also, intake and output and daily weights should be measured. Activities should be limited and paced to the client's tolerance level. 8. A client has a systemic arterial blood pressure monitor. Which of the following should be included in the plan of care for this client? Monitor the site for infection. Secure the pressure tubing to prevent dislodgement and possible exsanguinations. Monitor circulation distal to the insertion site. Monitor the site for infection. Arterial line blood pressures compared with noninvasive blood pressures do not always agree.