NCLEX Review Questions (Wagner) - Chapter (7)

Chapter 7: Basic Hemodynamic Monitoring NCLEX® Review This activity contains 10 questions. A client's cardiac index is figured to be 3.2L/min/m2. How should the nurse interpret this data? This is a critically low CI and should be addressed immediately. The client's CI is within the normal range. This is a high CI, but is not detrimental to the client. This finding is slightly low, but should be correctable with moderate fluid replacement. A nurse is concerned because the client's cardiac output is low. The nurse would implement interventions affecting which parameters? Select all that apply. Preload BMI Afterload Heart rate Contractility The staff of a critical care unit would like to move to the use of a less invasive hemodynamic technology. What should the staff consider when making this move? Select all that apply. Are the results of monitoring valid? Is the new equipment easy to use? Does the equipment provide continuous monitoring? Is the equipment reliable? Which new equipment is the least expensive? A newly hired nurse is preparing to administer vasoactive IV medication to a client with a PA catheter. The nurse's preceptor would allow the medication administration to proceed in which situation? The nurse is preparing to give the medication through the proximal infusion lumen and hub marked "Infusion" being used for CO injectate bolus. The nurse is preparing to give the medication through the distal lumen. The nurse is preparing to give the medication through the balloon inflation valve. The nurse is preparing to give the medication through the proximal injectate lumen. The nurse caring for a client being hemodynamically monitored sets recognition of a right ventricular waveform as a priority assessment. What is the rationale for this planning? Select all that apply. This pattern is one that should be monitored constantly. This is the client's pulmonary end-diastolic pressure. This is the best indicator of hemodynamic status. This waveform indicates the catheter is in the right ventricle. A nurse is receiving training on the use of hemodynamic monitoring. The nurse is somewhat overwhelmed by the technology. This nurse should focus on mastery of which steps? Select all that apply. How to obtain data quickly How to correctly analyze waveforms How to obtain accurate data How to apply the data to client assessment How to assist with PA catheter insertion A PA catheter has just been inserted. What is the nurse's primary intervention? Flush the catheter with heparinized solution. Call for a chest x-ray. Place a bulky dressing over the catheter site. Draw 30 mL of blood back through the catheter to check patency. The nurse is learning to interpret data from a PA catheter. Which interventions should the nurse employ? Look at each reading individually. Recheck abnormal readings. Accept normal readings as valid. Compare the readings to standard normals. What is the primary nursing intervention indicated for a symptomatic client with a PAWP of 3 mm Hg? Begin volume replacement. Restrict the client's fluids. Administer diuretics to decrease preload. Decrease afterload. What should the nurse do in order to assess the afterload status of a client's left ventricle? Determine the client's PAWP. Calculate the pulmonary vascular resistance. Determine the client's cardiac index. Determine the client's mean arterial pressure. Calculate the systemic vascular resistance.