Hemodynamic Monitoring Exam -Solved

Hemodynamic Monitoring Exam -Solved Which intervention would the nurse include in the plan of care for a patient with intraarterial blood pressure monitoring? - Answer- Maintain the transducer at the phlebostatic axis. When caring for a patient with a pulmonary artery catheter who is lying supine, the nurse would maintain the transducer level to which landmark? - Answer- 4th intercostal space, midaxillary line The nurse is caring for a patient with a hemodynamic systolic reading of 150 mmHg. The nurse notes that the transducer is six inches below the phlebostatic axis. What is the patient's actual systolic measurement? Round your answer to the nearest hundredth and record your answer with no units. __ - Answer- 138.78 Using the formula for mean arterial pressure (MAP), which blood pressure would produce a MAP of 69? - Answer- 95/56 mmHg Which nursing action would the nurse include in the plan of care to prevent damping of the intraarterial blood pressure monitoring waveform? - Answer- Regularly flush the line using the flush system The nurse is performing the fast-flush square waveform and notes additional vibrations at the end of the oscillations. In which way would the nurse document these findings? - Answer- Underdamping A patient with which diagnosis would benefit most from central venous pressure monitoring? - Answer- Septic shock The nurse notes a mill wheel murmur while assessing a patient with a central venous catheter in place. Based on these findings, which action would the nurse take? - Answer- Immediately notify the physician Which intervention would the nurse include in the plan of care to prevent central line associated infections? Select all that apply. One, some, or all responses may be correct. - Answer- Clean the insertion site with 2% chlorhexidine gluconate in 70% isopropyl Wash hands before providing site care Maintain sterile precautions during insertion Use site dressings impregnated with chlorhexidine Which intervention would the nurse include in the plan of care to reduce the risk of central venous catheter associated bloodstream infection? - Answer- Replace transparent dressings every seven days Which patient would benefit from a thermodilution pulmonary artery catheter? - Answer- Unstable post-operative coronary artery bypass graft Which change would the nurse expect to assess in a patient with decreased contractility? - Answer- Decreased stroke volume The nurse is caring for a patient with an ejection fraction of 25%. Which intervention would the nurse anticipate implementing for this patient? - Answer- Administration of diuretics Which measurement reading would indicate that the pulmonary artery catheter is within the right atrium? - Answer- 2 mmHg The nurse is caring for a mechanically ventilated patient with a pulmonary artery catheter. To ensure accuracy, at which point would the nurse assess the pulmonary artery diastolic pressure (PADP)? - Answer- At the end of expiration