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NR341 COMPLEX ADULT HEALTH EXAM 2 | 315 COMPLETE QUESTIONS WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED | GET A+

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NR341 COMPLEX ADULT HEALTH EXAM 2 | 315 COMPLETE QUESTIONS WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED | GET A+

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NR341 COMPLEX ADULT HEALTH EXAM 2 | 315 COMPLETE QUESTIONS WITH

EXPERT SOLUTIONS | 2026 LATEST UPDATED | GET A+




1. What parameters are assessed to evaluate fluid volume status?: Vital

signs (BP),

central venous pressure (CVP), pulmonary artery pressure (PAP), breath

sounds, oxygen saturation, skin turgor, edema, and weight.

2. What are the types of hemodynamic monitoring?: Pulmonary artery (PA)

monitor-

ing/PAWP/PAOP/LAP, Direct arterial BP monitoring, Right arterial pressure

(RAP)/CVP monitoring

3. Where is PAWP/LAP placed?: placed in the left side of the heart and

measures the left ventricular function

4. What is the normal range for PAWP?: 6-12 mmHg.

5. What does a high PAWP indicate?: Large amounts of fluid in the lungs, like

CHF




,6. What does a low PAWP indicate?: Severe dehydration

7. What else can PAWP/LAP measure?: central venous pressure (CVP)

8. How is direct arterial blood pressure monitored?: Through an arterial line

(A-line), which is an angiocath in the artery

9. How is a right arterial pressure (RAP)/ central venous pressure (CVP) line

placed?: Triple lumen central line that is inserted into either the femoral,

radial, or brachial vein that travels to the right atrium through the vena cava

(superior/inferior)

10. How is RAP/CVP placed?: using an aseptic technique that can be done

bedside with consent, pt is in supine/trendelenburg position, placement

is confirmed with a chest x-ray

11. What is the normal range for RAP/CVP?: 2-8 mmHg.

12. What can high RAP/CVP indicate?: Right-sided heart failure.

13. What can low RAP/CVP indicate?: Severe dehydration.

14. What else could a high or low RAP/CVP reading indicate?: wrong

placement of the transducer



,15. What are some complications of CVP monitoring?: Pneumothorax,

infection, bleeding, thrombus, and embolism.

16. What is preload?: The volume of blood in the ventricles at the end of

diastole.

17. What causes increased preload?: Hypervolemia, regurgitation of

cardiac valves, and heart failure.

18. What are the manifestations and treatment for increased preload?:

Manifestations: high CVP/PAWP

Treatment: remove fluids, fluid restriction

19. What can cause decreased preload?: fluid volume deficit, bleeding,

diarrhea, diabetes insipidus 20 What are the manifestations and

treatment of decreased preload?: Manifestations: Low BP, dry mucous

membranes, s/s of dehydration

Treatment: fluids

21. What is afterload?: The resistance the left ventricle must overcome to

circulate blood.



, 22. What conditions increase afterload?: Hypertension, vasoconstriction

(results in high cardiac workload)

23. What causes increased afterload?: HTN, atherosclerotic plaque buildup

24. What is the treatment for increased afterload?: Nitroglycerin

25. What are some causes of decreased afterload?: too much nitro,

anaphylaxis shock 26. What are the manifestations and treatment of

decreased afterload?: Manifestation: flushed skin

Treatment: vasoconstrictive medication (epi)

27. What is the formula for calculating Mean Arterial Pressure (MAP)?: MAP

=

(systolic BP + (diastolic BP x 2))/3.

28. What is the normal range for MAP?: 70-100 mmHg, with at least 65

mmHg being necessary for organ perfusion.

29. What is the purpose of an A-line?: To monitor arterial blood pressure

(ABP), obtain arterial blood gases (ABGs), and perform frequent blood

draws.

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