ATI RN SHOCK PRACTISE QUESTIONS AND CORRECT ANSWERS 2023.

ATI RN SHOCK PRACTISE QUESTIONS AND CORRECT ANSWERS 2023. 1. When caring for a patient with pulmonary hypertension, which parameter is most appropriate for the nurse to monitor to evaluate the effectiveness of the treatment? A. Central venous pressure (CVP) B. Systemic vascular resistance (SVR) C. Pulmonary vascular resistance (PVR) D. Pulmonary artery wedge pressure (PAWP): C. Pulmonary vascular resistance (PVR) Rationale: ANS: 3PVR is a major contributor to pulmonary hypertension, and a decrease would indicate that pulmonary hypertension was improving. The other parameters also may be monitored but 2. A 78-kg patient with septic shock has a urine output of 30 mL/hr for the past 3 hours. The pulse rate is 120/minute and the central venous pressure and pulmonary artery wedge pressure are low. Which order by the health care provider will the nurse question? A. Give PRN furosemide (Lasix) 40 mg IV. B. Increase normal saline infusion to 250 mL/hr. C. Administer hydrocortisone (Solu-Cortef) 100 mg IV. D. Titrate norepinephrine (Levophed) to keep systolic BP >90 mm Hg: A. Give PRN furosemide (Lasix) 40 mg IV. Rationale: ANS: 1Furosemide will lower the filling pressures and renal perfusion further for the patient with septic shock. The other orders are appropriate. 3. Following surgery for an abdominal aortic aneurysm, a patient's central venous pressure (CVP) monitor indicates low pressures. Which action is a priority for the nurse to take? A. Administer IV diuretic medications. B. Increase the IV fluid infusion per protocol. C. Document the CVP and continue to monitor. D. Elevate the head of the patient's bed to 45 degrees: B. Increase the IV fluid infusion per protocol. Rationale: ANS: 2A low CVP indicates hypovolemia and a need for an increase in the infusion rate. Diuretic administration will contribute to h