TEST BANK QUESTIONS: CRITICAL EXAM 3 AND FINAL EXAM
QUESTIONS AND ANSWERS UPDATE 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED BEST EXAM SOLUTION RATED A+ FOR SUCCESS
ANS: A
Both hemodynamic parameters and the reported
hematocrit value indicate hypovolemia and blood loss
requiring volume resuscitation with blood products.
Furosemide administration will worsen fluid volume
status. Inotropic agents will not correct the underlying
fluid volume deficit and anemia. Vasoconstrictors are
contraindicated in a volume-depleted state. - CORRECT
ANSWERS A patient is admitted to the hospital with
multiple trauma and extensive blood loss. The nurse
assesses vital signs to be BP 80/50 mm Hg, heart rate 135
beats/min, respirations 36 breaths/min, cardiac output
(CO) of 2 L/min, systemic vascular resistance of 3000
dynes/sec/cm-5, and a hematocrit of 20%. The nurse
anticipates administration of which the following
therapies or medications?
a.
Blood transfusion
b.
Furosemide (Lasix)
c.
Dobutamine (Dobutrex) infusion
d.
Dopamine hydrochloride (Dopamine) infusion
,TEST BANK QUESTIONS: CRITICAL EXAM 3 AND FINAL EXAM
QUESTIONS AND ANSWERS UPDATE 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED BEST EXAM SOLUTION RATED A+ FOR SUCCESS
ANS: C
The pulmonary pressures are higher than normal,
indicating elevated preload, and the cardiac index and
output values are low. The priority order for the nurse to
implement is to begin a dobutamine (Dobutrex) infusion
to improve cardiac output, possibly reducing pulmonary
artery occlusion pressures. The other treatments are
important, but the dobutamine infusion is the most
important at this time. - CORRECT ANSWERS After
pulmonary artery catheter insertion, the nurse assesses a
pulmonary artery pressure of 45/25 mm Hg, a pulmonary
artery occlusion pressure (PAOP) of 20 mm Hg, a cardiac
output of 2.6 L/min and a cardiac index of 1.9 L/min/m2.
Which physician order is of the highest priority?
a.
Apply 50% oxygen via venture mask.
b.
Insert an indwelling urinary catheter.
c.
Begin a dobutamine (Dobutrex) infusion.
d.
Obtain stat cardiac enzymes and troponin.
,TEST BANK QUESTIONS: CRITICAL EXAM 3 AND FINAL EXAM
QUESTIONS AND ANSWERS UPDATE 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED BEST EXAM SOLUTION RATED A+ FOR SUCCESS
ANS: B
Numbness and tingling in the left hand, which is the
location of an arterial catheter, indicates possible
neurovascular compromise and requires immediate
action. A dampened waveform can indicate problems with
arterial line patency but is not an emergent situation.
Slight bloody drainage at the subclavian insertion site is
not an unusual finding. Slight redness at the insertion site,
while of concern, does not require immediate action. -
CORRECT ANSWERS The nurse is caring for a patient with
a left subclavian central venous catheter (CVC) and a left
radial arterial line. Which assessment finding by the nurse
requires immediate action?
a.
A dampened arterial line waveform
b.
Numbness and tingling in the left hand
c.
Slight bloody drainage at subclavian insertion site
d.
Slight redness at subclavian insertion site
ANS: B
, TEST BANK QUESTIONS: CRITICAL EXAM 3 AND FINAL EXAM
QUESTIONS AND ANSWERS UPDATE 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED BEST EXAM SOLUTION RATED A+ FOR SUCCESS
Upon removal of an invasive arterial line, adequate
pressure must be applied for at least 5 minutes to ensure
adequate hemostasis. Application of an air occlusion
dressing is not standard of care following removal of an
arterial line. Elevation of the affected limb following
removal of an arterial line is not a necessary intervention.
Neutral wrist position is optimum while the catheter is in
place and not necessary after catheter discontinuation. -
CORRECT ANSWERS The physician writes an order to
discontinue a patient's left radial arterial line. When
discontinuing the patient's invasive line, what is the
priority nursing action?
a.
Apply an air occlusion dressing to insertion site.
b.
Apply pressure to the insertion site for 5 minutes.
c.
Elevate the affected limb on pillows for 24 hours.
d.
Keep the patient's wrist in a neutral position.
ANS: C
X-ray results indicate proper position of the catheter. The
tip of the central venous catheter should rest just above
QUESTIONS AND ANSWERS UPDATE 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED BEST EXAM SOLUTION RATED A+ FOR SUCCESS
ANS: A
Both hemodynamic parameters and the reported
hematocrit value indicate hypovolemia and blood loss
requiring volume resuscitation with blood products.
Furosemide administration will worsen fluid volume
status. Inotropic agents will not correct the underlying
fluid volume deficit and anemia. Vasoconstrictors are
contraindicated in a volume-depleted state. - CORRECT
ANSWERS A patient is admitted to the hospital with
multiple trauma and extensive blood loss. The nurse
assesses vital signs to be BP 80/50 mm Hg, heart rate 135
beats/min, respirations 36 breaths/min, cardiac output
(CO) of 2 L/min, systemic vascular resistance of 3000
dynes/sec/cm-5, and a hematocrit of 20%. The nurse
anticipates administration of which the following
therapies or medications?
a.
Blood transfusion
b.
Furosemide (Lasix)
c.
Dobutamine (Dobutrex) infusion
d.
Dopamine hydrochloride (Dopamine) infusion
,TEST BANK QUESTIONS: CRITICAL EXAM 3 AND FINAL EXAM
QUESTIONS AND ANSWERS UPDATE 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED BEST EXAM SOLUTION RATED A+ FOR SUCCESS
ANS: C
The pulmonary pressures are higher than normal,
indicating elevated preload, and the cardiac index and
output values are low. The priority order for the nurse to
implement is to begin a dobutamine (Dobutrex) infusion
to improve cardiac output, possibly reducing pulmonary
artery occlusion pressures. The other treatments are
important, but the dobutamine infusion is the most
important at this time. - CORRECT ANSWERS After
pulmonary artery catheter insertion, the nurse assesses a
pulmonary artery pressure of 45/25 mm Hg, a pulmonary
artery occlusion pressure (PAOP) of 20 mm Hg, a cardiac
output of 2.6 L/min and a cardiac index of 1.9 L/min/m2.
Which physician order is of the highest priority?
a.
Apply 50% oxygen via venture mask.
b.
Insert an indwelling urinary catheter.
c.
Begin a dobutamine (Dobutrex) infusion.
d.
Obtain stat cardiac enzymes and troponin.
,TEST BANK QUESTIONS: CRITICAL EXAM 3 AND FINAL EXAM
QUESTIONS AND ANSWERS UPDATE 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED BEST EXAM SOLUTION RATED A+ FOR SUCCESS
ANS: B
Numbness and tingling in the left hand, which is the
location of an arterial catheter, indicates possible
neurovascular compromise and requires immediate
action. A dampened waveform can indicate problems with
arterial line patency but is not an emergent situation.
Slight bloody drainage at the subclavian insertion site is
not an unusual finding. Slight redness at the insertion site,
while of concern, does not require immediate action. -
CORRECT ANSWERS The nurse is caring for a patient with
a left subclavian central venous catheter (CVC) and a left
radial arterial line. Which assessment finding by the nurse
requires immediate action?
a.
A dampened arterial line waveform
b.
Numbness and tingling in the left hand
c.
Slight bloody drainage at subclavian insertion site
d.
Slight redness at subclavian insertion site
ANS: B
, TEST BANK QUESTIONS: CRITICAL EXAM 3 AND FINAL EXAM
QUESTIONS AND ANSWERS UPDATE 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED BEST EXAM SOLUTION RATED A+ FOR SUCCESS
Upon removal of an invasive arterial line, adequate
pressure must be applied for at least 5 minutes to ensure
adequate hemostasis. Application of an air occlusion
dressing is not standard of care following removal of an
arterial line. Elevation of the affected limb following
removal of an arterial line is not a necessary intervention.
Neutral wrist position is optimum while the catheter is in
place and not necessary after catheter discontinuation. -
CORRECT ANSWERS The physician writes an order to
discontinue a patient's left radial arterial line. When
discontinuing the patient's invasive line, what is the
priority nursing action?
a.
Apply an air occlusion dressing to insertion site.
b.
Apply pressure to the insertion site for 5 minutes.
c.
Elevate the affected limb on pillows for 24 hours.
d.
Keep the patient's wrist in a neutral position.
ANS: C
X-ray results indicate proper position of the catheter. The
tip of the central venous catheter should rest just above
