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Q 1/7
Score 0
When checking a patient’s pulmonary artery occlusion pressure, the nurse inflates the balloon as ordered, not inflating the balloon for more than 8 to 10 seconds. The patient asks the rationale behind the nurse’s actions. Which statement should the nurse make?
30
“Prolonged inflation increases the likelihood of thermistor damage.”
“Prolonged inflation increases the risk of catheter balloon rupture.”
“Prolonged inflation can obstruct blood flow, resulting in ischemia.”
“Prolonged inflation will reduce tension on the pulmonary artery wall.”
Q 2/7
Score 0
The nurse is caring for a patient who is being monitored with a central venous catheter. In preparing to record a right atrial pressure reading, what is most important for the nurse to keep in mind when recording an accurate value?
60
High pressures are likely to indicate hypovolemia
Zero referencing is not needed before every recording
Record the pressure at the end of expiration
Low pressures indicate ventricular dysfunction
7 questions
Q.
When checking a patient’s pulmonary artery occlusion pressure, the nurse inflates the balloon as ordered, not inflating the balloon for more than 8 to 10 seconds. The patient asks the rationale behind the nurse’s actions. Which statement should the nurse make?
1
30 sec
Q.
The nurse is caring for a patient who is being monitored with a central venous catheter. In preparing to record a right atrial pressure reading, what is most important for the nurse to keep in mind when recording an accurate value?
2
60 sec
Q.
The nurse is orienting a new RN to the ICU. The nurse begins to review orders recently entered by the cardiologist and to explain their rationale to the new RN. Medication orders include dobutamine (Dobutrex) 400 mg in 250 mL 5% dextrose in water titrated to keep cardiac index >2 L/min/m2. Which statement by the new RN indicates that teaching has been effective?
3
60 sec
Q.
What is the best action by the nurse to level and zero a hemodynamic monitoring system transducer?
4
60 sec
Q.
What is the best position for the nurse to place the patient in to obtain a right atrial pressure measurement?
5
60 sec
Q.
The nurse is caring for a patient in shock. Which is a priority action by the nurse?
6
60 sec
Q.
The nurse is caring for a patient with possible distributive shock. Which should the nurse look for on assessment?
