(Complete 150 Q&A) Med Surg II Final Exam Pt 1

(Complete 150 Q&A) Med Surg II Final Exam Pt 1 What is an ability that is a primary difference in the skills of a certified critical care nurse compared with nurses certified in medical surgical nursing? {{Ans:- Use advanced technology to assess and maintain physiological function What is a nursing intervention that is indicated for the patient in the ICU who has a nursing diagnosis of anxiety related to the ICU environment and sensory overload? {{Ans:- Eliminate unnecessary alarms and overhead paging. Why should the critical care nurse include caregivers of the patient in the ICU as part of the health care team? {{Ans:- Caregivers play a valuable role in the patients recovery. What factor will cause a decrease in cardiac output? {{Ans:- Decrease Heart Rate. The patient with SOB is scheduled for an impendance cardiography to differentiate if the cause is cardiac or pulmonary. How should the nurse best explain this test to the patient? {{Ans:- Thoracic fluid status is determined by changes in impendance with each heartbeat. The patient has experienced an increasing preload, which supports an increase in CO. What nursing action contributes to an increased preload? {{Ans:- Increased fluid administration. During hemodynamic monitoring, the nurse finds that the patient has a decreased CO with unchanged pulmonary artery wedge pressure (PAWP), HR and SVR. The nurse identifies that the patient has a decrease in what? {{Ans:- Contractility Before taking hemodynamic measurements, how must the nurse reference the monitoring equipment? {{Ans:- Position the stopclock nearest the transducer level with the phlebostatic axis. What does the pressure of the Pulmonary Artery Cather measure? {{Ans:- The pressure obtained when the balloon of the pulmonary artery catheter is inflated reflects the preload of the left ventricle. In preparing the patient for insertion of a pulmonary catheter, what should the nurse do? {{Ans:- Ensure that the patient has continuous electrocardiographic (ECG) monitoring.