Management Exam | Questions with 100% Correct
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Terms in this set (96)
Question 1 of 6 Clearing of crackles in lung bases
Which assessment change would the MCS reduces pulmonary congestion, which would
nurse expect to see after initiation of clear the crackles in the lung bases.
mechanical circulatory support
(MCS)?
Decrease in cardiac output from 8
L/min to 3 L/min
Increase in chest pain
Clearing of crackles in lung bases
Decrease in systolic blood pressure
from 105 mm Hg to 95 mm Hg
Question 2 of 6
Match the mechanical circulatory
support device to the corresponding
Central VA-ECMO
=CentriMag
Short-term left ventricle support
=Impella CP
Right ventricle support
=TandemHeart
Long-term left ventricle support
=HeartWare
,Question 3 of 6 Severe peripheral vascular disease
In which patient would treatment Contraindications to IABP therapy include severe
with intraaortic balloon pump (IABP) peripheral vascular disease due to the difficulty
therapy be contraindicated? with inserting and placing the IABP through
History of right-sided heart failure vascular access.
Severe peripheral vascular disease
Volume overload
Stage 3 acute kidney failure
Question 4 of 6 Flat mean arterial pressure curve
Which finding would the nurse Frequently, left ventricular contraction ceases
expect when caring for a patient with when the TandemHeart is in place. This results in a
a TandemHeart device? flat mean arterial pressure curve.
Flat mean arterial pressure curve
Cyanosis and decreased oxygen
levels
Decreased urinary output
Numbness and tingling in the
extremities
Question 5 of 6 Muffled heart tones
Which assessment finding indicates a One complication of ECMO is cardiac tamponade.
cardiac complication related to Cardiac tamponade causes muffled heart tones,
extracorporeal membrane pulsus paradoxus, and jugular vein distention.
oxygenation (ECMO)?
Body aches
Fever
Muffled heart tones
Deep vein thrombosis
,Question 6 of 6 Left atrium
Which location would the blood be The inlet cannulas are placed in the left atrium, and
diverted from when a long-term blood is diverted from the left atrium or apex to
ventricular assist device is in use? the ventricular assist device.
Right atrium
Left ventricle
Right ventricle
Left atrium
Question 1 of 3 Manual blood pressure cuff with a Doppler
The nurse is caring for a patient with Manual blood pressure measurement with a
a continuous-flow ventricular assist Doppler to assess for Korotkoff sounds would
device (VAD) in place and needs to provide the most accurate assessment of mean
assess the patient's mean arterial arterial pressure.
pressure. Which technique would
provide the most accurate
measurement?
Automatic cuff placed on the
femoral artery
Manual blood pressure cuff with
stethoscope auscultation
Manual blood pressure cuff with a
Doppler
Automatic cuff placed on the
brachial artery
Question 2 of 3 Bleeding
Which complication occurs most Bleeding is the most common complication of MCS
frequently with mechanical device use because patients require
circulatory support (MCS) devices? anticoagulation to prevent thromboembolism from
Valve damage occurring.
Bleeding
Power failure
Sepsis
, Question 3 of 3 Activity restrictions
Which element would the nurse It is important for the nurse to educate the patient
include in the education for a patient on activity restrictions that should be followed
who is being discharged with a while receiving VAD therapy.
ventricular assist device (VAD)? Symptoms to report to the health care professional
Select all that apply. One, some, or The patient should receive education on symptoms
all responses may be correct. to report to the health care professional and signs
Activity restrictions of potential complications.
Information about the critical care How the VAD works
environment Patients should be able to teach-back how their
Symptoms to report to the health specific VAD works and ways to manage the VAD
care professional at home.
How the VAD works Signs of power failure
Signs of power failure Power failure is a complication that can occur, and
patients should be able to teach-back signs of
power failure and actions to take.
Question 1 of 6 Severe heart failure following coronary artery
Which patient would benefit from bypass graft (CABG) surgery
therapy with a short-term mechanical A patient with severe heart failure would benefit
circulatory support (MCS) device? from the circulatory support that a MCS device
Select all that apply. One, some, or provides. Recent CABG surgery is not a
all responses may be correct. contraindication to MCS therapy.
Severe heart failure following
coronary artery bypass graft (CABG) Post-transplant right ventricle failure
surgery A patient who experiences post-transplant right
Cardiogenic shock from cardiac ventricle failure would benefit from short-term
tamponade right-sided cardiac support with a MCS device.
Post-transplant right ventricle failure
Noncardiogenic pulmonary edema Decompensated heart failure following myocardial
Decompensated heart failure infarction (MI)
following myocardial infarction (MI) MCS devices are used for decompensated heart
failure and for complications of acute MI. MCS
devices support cardiac output and cardiac
function.