High Acuity Final Exam questions
Study online at https://quizlet.com/_9s6r3b
1. A preceptor nurse is assisting a newly Infusing a vasoactive drug through the proximal in-
hired nurse with completion of he- jectate port. ***DO NOT INFUSE VASOACTIVE DRUGS
modynamic assessment using a PA IF USING THERMODILUTION FOR CO/CI**
catheter. Which action would require
the nurse to intervene?
2. Which nursing interventions are in- -Use a volume of no more than 1.25mL to inflate the
dicated when measuring pulmonary balloon. *Inflate long enough for stable reading (2-4
artery wedge pressure? respiratory cycles, <15 seconds)
-If there is any resistance during inflation do not
continue. *Allow passive deflation of the balloon
3. What are the possible complications -Pneumothorax
of a CVP catheter? -Subclavian/carotid artery puncture
What do you do is a patient is suspect- -Air Embolism
ed to have an air embolism?
Air embolism- put pt. is left tredelenburg
4. The nurse is performing an assess- -Jugular vein distention
ment on a pt. whose right atrial -Hepatomegaly
pressure is 12mmHg. Which findings
would the nurse anticipate? Elevation of right arterial pressure indicates high
right ventricular preload, which results in fluid back-
up into the venous system. Hepatomegaly is a sign
of increased right ventricular preload
5. The physician is inserting a PA NOTHING
catheter and you see VTACH on the
patient's monitor, what should you *VTACH is normal on insertion at right ventricle if its
do? not on insertion, then you should be concerned.
6. What is ART line used for? -It is used for continuous BP monitoring
Nursing care for ART line? -Perform Allen test, Monitor distal pulse, watch for
1/6
, High Acuity Final Exam questions
Study online at https://quizlet.com/_9s6r3b
s/s of infection, check for cap. refill. Is there a palpa-
ble pulse or have they lost feeling (PRIORITY).
7. What are two particular aspects of -Daily chest X-ray to make sure it has correct place-
care that should be done for a PA ment
catheter? -DO NOT infuse vasoactive drugs if using thermod-
ilution co/ci in the proximal injectate lumen and
proximal infusion lumen
8. The patient has a PA catheter and a RV -Be concerned if it has a sudden onset and notify
waveform is seen. When should you physician
be concerned and what should you -It is normal to see RV waveform during PA catheter
do? insertion
-Know was increases and decreases RAP
-S/S of increased RAP: JVD, hepatomegaly
9. What does PAD measure? -PAD (Pulmonary artery diastolic) estimates LV pre-
What does PAWP measure? load
-PAWP (Pulmonary artery wedge pressure) is an in-
direct measure of L sided preload
**Know that hypovolemia causes decreased PAWP
10. A pt is scheduled for an echocardio- The strength of the heartbeat
gram with a measurement of ejection
fraction. The nurse explains to the pa- Ejection fraction= the % of blood ejected with each
tient that this diagnostic test will pro- stroke volume (% of blood pushed out of the heart)
vide the most accurate information 60-70% is normal
about which cardiac characteristic? 30-35% can indicate heart failure
11. A pt. with a steadily increasing pre- The patient's preload has reached a critical point and
load was experiencing a correspond- now stroke volume will decrease
ing increase in stroke volume, but it
has now begun to decrease. Which ***As preload increases- SV decreases= critical point
2/6
Study online at https://quizlet.com/_9s6r3b
1. A preceptor nurse is assisting a newly Infusing a vasoactive drug through the proximal in-
hired nurse with completion of he- jectate port. ***DO NOT INFUSE VASOACTIVE DRUGS
modynamic assessment using a PA IF USING THERMODILUTION FOR CO/CI**
catheter. Which action would require
the nurse to intervene?
2. Which nursing interventions are in- -Use a volume of no more than 1.25mL to inflate the
dicated when measuring pulmonary balloon. *Inflate long enough for stable reading (2-4
artery wedge pressure? respiratory cycles, <15 seconds)
-If there is any resistance during inflation do not
continue. *Allow passive deflation of the balloon
3. What are the possible complications -Pneumothorax
of a CVP catheter? -Subclavian/carotid artery puncture
What do you do is a patient is suspect- -Air Embolism
ed to have an air embolism?
Air embolism- put pt. is left tredelenburg
4. The nurse is performing an assess- -Jugular vein distention
ment on a pt. whose right atrial -Hepatomegaly
pressure is 12mmHg. Which findings
would the nurse anticipate? Elevation of right arterial pressure indicates high
right ventricular preload, which results in fluid back-
up into the venous system. Hepatomegaly is a sign
of increased right ventricular preload
5. The physician is inserting a PA NOTHING
catheter and you see VTACH on the
patient's monitor, what should you *VTACH is normal on insertion at right ventricle if its
do? not on insertion, then you should be concerned.
6. What is ART line used for? -It is used for continuous BP monitoring
Nursing care for ART line? -Perform Allen test, Monitor distal pulse, watch for
1/6
, High Acuity Final Exam questions
Study online at https://quizlet.com/_9s6r3b
s/s of infection, check for cap. refill. Is there a palpa-
ble pulse or have they lost feeling (PRIORITY).
7. What are two particular aspects of -Daily chest X-ray to make sure it has correct place-
care that should be done for a PA ment
catheter? -DO NOT infuse vasoactive drugs if using thermod-
ilution co/ci in the proximal injectate lumen and
proximal infusion lumen
8. The patient has a PA catheter and a RV -Be concerned if it has a sudden onset and notify
waveform is seen. When should you physician
be concerned and what should you -It is normal to see RV waveform during PA catheter
do? insertion
-Know was increases and decreases RAP
-S/S of increased RAP: JVD, hepatomegaly
9. What does PAD measure? -PAD (Pulmonary artery diastolic) estimates LV pre-
What does PAWP measure? load
-PAWP (Pulmonary artery wedge pressure) is an in-
direct measure of L sided preload
**Know that hypovolemia causes decreased PAWP
10. A pt is scheduled for an echocardio- The strength of the heartbeat
gram with a measurement of ejection
fraction. The nurse explains to the pa- Ejection fraction= the % of blood ejected with each
tient that this diagnostic test will pro- stroke volume (% of blood pushed out of the heart)
vide the most accurate information 60-70% is normal
about which cardiac characteristic? 30-35% can indicate heart failure
11. A pt. with a steadily increasing pre- The patient's preload has reached a critical point and
load was experiencing a correspond- now stroke volume will decrease
ing increase in stroke volume, but it
has now begun to decrease. Which ***As preload increases- SV decreases= critical point
2/6
