HIGH ACUITY FINAL EXAM QUESTIONS WITH VERIFIED ANSWERS
A cpreceptor cnurse cis cassisting ca cnewly chired cnurse cwith ccompletion cof chemodynamic cassessment cusing ca cPA ccatheter.
cWhich caction cwould crequire cthe cnurse cto cintervene? c- cCORRECT cANS✔✔Infusing ca cvasoactive cdrug cthrough cthe cproximal
cinjectate cport. c***DO cNOT cINFUSE cVASOACTIVE cDRUGS cIF cUSING cTHERMODILUTION cFOR cCO/CI**
Which cnursing cinterventions care cindicated cwhen cmeasuring cpulmonary cartery cwedge cpressure? c- cCORRECT cANS✔✔-Use ca
cvolume cof cno cmore cthan c1.25mL cto cinflate cthe cballoon. c*Inflate clong cenough cfor cstable creading c(2-4 crespiratory ccycles, c<15
cseconds)
-If cthere cis cany cresistance cduring cinflation cdo cnot ccontinue. c*Allow cpassive cdeflation cof cthe cballoon
What care cthe cpossible ccomplications cof ca cCVP ccatheter? c
What cdo cyou cdo cis ca cpatient cis csuspected cto chave can cair cembolism? c- cCORRECT cANS✔✔-Pneumothorax
-Subclavian/carotid cartery cpuncture
-Air cEmbolism
Air cembolism- cput cpt. cis cleft ctredelenburg
The cnurse cis cperforming can cassessment con ca cpt. cwhose cright catrial cpressure cis c12mmHg. cWhich cfindings cwould cthe cnurse
canticipate? c- cCORRECT cANS✔✔-Jugular cvein cdistention
-Hepatomegaly
Elevation cof cright carterial cpressure cindicates chigh cright cventricular cpreload, cwhich cresults cin cfluid cbackup cinto cthe cvenous
csystem. cHepatomegaly cis ca csign cof cincreased cright cventricular cpreload
The cphysician cis cinserting ca cPA ccatheter cand cyou csee cVTACH con cthe cpatient's cmonitor, cwhat cshould cyou cdo? c- cCORRECT
cANS✔✔NOTHING
*VTACH cis cnormal con cinsertion cat cright cventricle cif cits cnot con cinsertion, cthen cyou cshould cbe cconcerned.
What cis cART cline cused cfor?
Nursing ccare cfor cART cline? c- cCORRECT cANS✔✔-It cis cused cfor ccontinuous cBP cmonitoring
-Perform cAllen ctest, cMonitor cdistal cpulse, cwatch cfor cs/s cof cinfection, ccheck cfor ccap. crefill. cIs cthere ca cpalpable cpulse cor chave
cthey clost cfeeling c(PRIORITY).
What care ctwo cparticular caspects cof ccare cthat cshould cbe cdone cfor ca cPA ccatheter? c- cCORRECT cANS✔✔-Daily cchest cX-ray
cto cmake csure cit chas ccorrect cplacement
-DO cNOT cinfuse cvasoactive cdrugs cif cusing cthermodilution cco/ci cin cthe cproximal cinjectate clumen cand cproximal cinfusion clumen
The cpatient chas ca cPA ccatheter cand ca cRV cwaveform cis cseen. cWhen cshould cyou cbe cconcerned cand cwhat cshould cyou cdo? c-
cCORRECT cANS✔✔-Be cconcerned cif cit chas ca csudden conset cand cnotify cphysician
-It cis cnormal cto csee cRV cwaveform cduring cPA ccatheter cinsertion
-Know cwas cincreases cand cdecreases cRAP
-S/S cof cincreased cRAP: cJVD, chepatomegaly
What cdoes cPAD cmeasure?
What cdoes cPAWP cmeasure? c- cCORRECT cANS✔✔-PAD c(Pulmonary cartery cdiastolic) cestimates cLV cpreload
-PAWP c(Pulmonary cartery cwedge cpressure) cis can cindirect cmeasure cof cL csided cpreload
**Know cthat chypovolemia ccauses cdecreased cPAWP
A cpt cis cscheduled cfor can cechocardiogram cwith ca cmeasurement cof cejection cfraction. cThe cnurse cexplains cto cthe cpatient cthat
cthis cdiagnostic ctest cwill cprovide cthe cmost caccurate cinformation cabout cwhich ccardiac ccharacteristic? c- cCORRECT
cANS✔✔The cstrength cof cthe cheartbeat
Ejection cfraction= cthe c% cof cblood cejected cwith ceach cstroke cvolume c(% cof cblood cpushed cout cof cthe cheart)
60-70% cis cnormal
A cpreceptor cnurse cis cassisting ca cnewly chired cnurse cwith ccompletion cof chemodynamic cassessment cusing ca cPA ccatheter.
cWhich caction cwould crequire cthe cnurse cto cintervene? c- cCORRECT cANS✔✔Infusing ca cvasoactive cdrug cthrough cthe cproximal
cinjectate cport. c***DO cNOT cINFUSE cVASOACTIVE cDRUGS cIF cUSING cTHERMODILUTION cFOR cCO/CI**
Which cnursing cinterventions care cindicated cwhen cmeasuring cpulmonary cartery cwedge cpressure? c- cCORRECT cANS✔✔-Use ca
cvolume cof cno cmore cthan c1.25mL cto cinflate cthe cballoon. c*Inflate clong cenough cfor cstable creading c(2-4 crespiratory ccycles, c<15
cseconds)
-If cthere cis cany cresistance cduring cinflation cdo cnot ccontinue. c*Allow cpassive cdeflation cof cthe cballoon
What care cthe cpossible ccomplications cof ca cCVP ccatheter? c
What cdo cyou cdo cis ca cpatient cis csuspected cto chave can cair cembolism? c- cCORRECT cANS✔✔-Pneumothorax
-Subclavian/carotid cartery cpuncture
-Air cEmbolism
Air cembolism- cput cpt. cis cleft ctredelenburg
The cnurse cis cperforming can cassessment con ca cpt. cwhose cright catrial cpressure cis c12mmHg. cWhich cfindings cwould cthe cnurse
canticipate? c- cCORRECT cANS✔✔-Jugular cvein cdistention
-Hepatomegaly
Elevation cof cright carterial cpressure cindicates chigh cright cventricular cpreload, cwhich cresults cin cfluid cbackup cinto cthe cvenous
csystem. cHepatomegaly cis ca csign cof cincreased cright cventricular cpreload
The cphysician cis cinserting ca cPA ccatheter cand cyou csee cVTACH con cthe cpatient's cmonitor, cwhat cshould cyou cdo? c- cCORRECT
cANS✔✔NOTHING
*VTACH cis cnormal con cinsertion cat cright cventricle cif cits cnot con cinsertion, cthen cyou cshould cbe cconcerned.
What cis cART cline cused cfor?
Nursing ccare cfor cART cline? c- cCORRECT cANS✔✔-It cis cused cfor ccontinuous cBP cmonitoring
-Perform cAllen ctest, cMonitor cdistal cpulse, cwatch cfor cs/s cof cinfection, ccheck cfor ccap. crefill. cIs cthere ca cpalpable cpulse cor chave
cthey clost cfeeling c(PRIORITY).
What care ctwo cparticular caspects cof ccare cthat cshould cbe cdone cfor ca cPA ccatheter? c- cCORRECT cANS✔✔-Daily cchest cX-ray
cto cmake csure cit chas ccorrect cplacement
-DO cNOT cinfuse cvasoactive cdrugs cif cusing cthermodilution cco/ci cin cthe cproximal cinjectate clumen cand cproximal cinfusion clumen
The cpatient chas ca cPA ccatheter cand ca cRV cwaveform cis cseen. cWhen cshould cyou cbe cconcerned cand cwhat cshould cyou cdo? c-
cCORRECT cANS✔✔-Be cconcerned cif cit chas ca csudden conset cand cnotify cphysician
-It cis cnormal cto csee cRV cwaveform cduring cPA ccatheter cinsertion
-Know cwas cincreases cand cdecreases cRAP
-S/S cof cincreased cRAP: cJVD, chepatomegaly
What cdoes cPAD cmeasure?
What cdoes cPAWP cmeasure? c- cCORRECT cANS✔✔-PAD c(Pulmonary cartery cdiastolic) cestimates cLV cpreload
-PAWP c(Pulmonary cartery cwedge cpressure) cis can cindirect cmeasure cof cL csided cpreload
**Know cthat chypovolemia ccauses cdecreased cPAWP
A cpt cis cscheduled cfor can cechocardiogram cwith ca cmeasurement cof cejection cfraction. cThe cnurse cexplains cto cthe cpatient cthat
cthis cdiagnostic ctest cwill cprovide cthe cmost caccurate cinformation cabout cwhich ccardiac ccharacteristic? c- cCORRECT
cANS✔✔The cstrength cof cthe cheartbeat
Ejection cfraction= cthe c% cof cblood cejected cwith ceach cstroke cvolume c(% cof cblood cpushed cout cof cthe cheart)
60-70% cis cnormal
