Intraaortic Balloon Pump Management
answers
Assess the affected extremity for the quality and strength of distal pulses✔✔A
patient with a femoral IAB is transferred from the cardiac catheterization laboratory to
the intensive care unit. Which action is a priority nursing intervention when the
patient arrives in the unit?
Reviewing the laboratory profile for evidence of a coagulopathy✔✔Which
intervention is a priority before inserting an IAB?
Apply direct pressure to the insertion site and assess the patient for bleeding✔✔A
nurse is teaching a student nurse about IAB removal and asks the student nurse to
name the most important action after IAB removal. Which response indicates that the
student nurse understands the information?
Obtain a chest radiograph✔✔Which intervention is a priority directly after IAB
catheter insertion to avoid the complications associated with renal artery perfusion
impairment?
IABP therapy is designed to increase systemic perfusion✔✔A family member asks
why the patient needs this "machine and a catheter in the leg." When explaining the
purpose and use of IABP therapy to the patient's family, the nurse should make
which statement?
Cardiogenic shock✔✔A patient is being admitted as a possible candidate for IABP
therapy. The nurse suspects that the patient may have which diagnosis?
R wave✔✔When assessing a patient at the start of the shift, the nurse observes that
the trigger source is optimal when which wave is recognized?
The pump should inflate during systole and deflate just before diastole✔✔A nurse is
teaching a new graduate nurse about the optimal timing of the IABP. Which
statement by the new graduate demonstrates understanding?
Prepare to wean the patient by changing the IABP settings✔✔The nurse is caring for
a patient who has been on an IABP with 1:1 timing for the past 3 days. Now, the
patient's condition has improved, and the IABP can be discontinued. Which action
should the nurse take next to prepare for removal of the IAB catheter?
Catheter migration superiorly, obstructing cerebral blood flow✔✔Six hours after IAB
placement, the nurse observes a significant change in the patient's neurologic status.
The patient, who was originally alert and completely oriented, is now more difficult to
arouse, lethargic, slow to answer, and oriented only to person. The nurse notifies the
practitioner immediately. Which complication is the most likely cause of the change
in the patient's neurologic status?
answers
Assess the affected extremity for the quality and strength of distal pulses✔✔A
patient with a femoral IAB is transferred from the cardiac catheterization laboratory to
the intensive care unit. Which action is a priority nursing intervention when the
patient arrives in the unit?
Reviewing the laboratory profile for evidence of a coagulopathy✔✔Which
intervention is a priority before inserting an IAB?
Apply direct pressure to the insertion site and assess the patient for bleeding✔✔A
nurse is teaching a student nurse about IAB removal and asks the student nurse to
name the most important action after IAB removal. Which response indicates that the
student nurse understands the information?
Obtain a chest radiograph✔✔Which intervention is a priority directly after IAB
catheter insertion to avoid the complications associated with renal artery perfusion
impairment?
IABP therapy is designed to increase systemic perfusion✔✔A family member asks
why the patient needs this "machine and a catheter in the leg." When explaining the
purpose and use of IABP therapy to the patient's family, the nurse should make
which statement?
Cardiogenic shock✔✔A patient is being admitted as a possible candidate for IABP
therapy. The nurse suspects that the patient may have which diagnosis?
R wave✔✔When assessing a patient at the start of the shift, the nurse observes that
the trigger source is optimal when which wave is recognized?
The pump should inflate during systole and deflate just before diastole✔✔A nurse is
teaching a new graduate nurse about the optimal timing of the IABP. Which
statement by the new graduate demonstrates understanding?
Prepare to wean the patient by changing the IABP settings✔✔The nurse is caring for
a patient who has been on an IABP with 1:1 timing for the past 3 days. Now, the
patient's condition has improved, and the IABP can be discontinued. Which action
should the nurse take next to prepare for removal of the IAB catheter?
Catheter migration superiorly, obstructing cerebral blood flow✔✔Six hours after IAB
placement, the nurse observes a significant change in the patient's neurologic status.
The patient, who was originally alert and completely oriented, is now more difficult to
arouse, lethargic, slow to answer, and oriented only to person. The nurse notifies the
practitioner immediately. Which complication is the most likely cause of the change
in the patient's neurologic status?
