ATI Adult Medical-Surgical Nursing: Cardiovascular | Questions with 100 % correct answers |Verified

A nurse is orienting a newly licensed nurse on the care of a client who is to have a line placed for hemodynamic monitoring. Which of the following statements by the newly licensed nurse indicates understanding? A. "Air should be instilled into the monitoring system prior to the procedure." B. "The client should be positioned on the left side during the procedure." C. "The transducer should be level with the second intercostal space after the line is placed." D. "A chest x-ray is needed to verify placement after the procedure." - A. Purge air from, rather than instill air into, the monitoring system. B. Place the client in the supine or Trendelenburg position. C. For hemodynamic monitoring, place the transducer level with the 4th intercostal space, which is at the base of the right atrium. D. CORRECT: Ensure that a chest x-ray is obtained to confirm proper placement of the lines following placement. A nurse is assessing a client who is undergoing hemodynamic monitoring. The client has a CVP of 7 mm Hg and a PAWP of 17 mm Hg. Which of the following findings should the nurse expect? (Select all that apply.) A. Poor skin turgor B. Bilateral crackles in the lungs C. Jugular vein distension D. Dry mucous membranes E. Hepatomegaly - A. The client's CVP and PAWP are above the expected reference range. Expect the client to have poor skin turgor for a decreased CVP and PAWP.B. CORRECT: Expect the client to have bilateral crackles in the lungs for an increased CVP and PAWP. C. CORRECT: Expect the client to have jugular vein distension for an increased CVP and PAWP. D. Expect the client to have dry mucous membranes for a decreased CVP and PAWP. E. CORRECT: Expect the client to have hepatomegaly for an increased CVP and PAWP. A nurse is teaching a client who is scheduled for coronary angiography. Which of the following statements should the nurse include? A. "You should have nothing to eat or drink for 4 hours prior to the procedure." B. "You will be given general anesthesia during the procedure." C. "You should not have this procedure done if you are allergic to eggs." D. "You will need to keep your affected leg straight following the procedure." - A. Instruct the client to remain NPO for at least 8 hr prior to the procedure to decrease the risk for aspiration while lying flat during the angiography.