While waiting for cardiac transplantation, a patient with severe cardiomyopathy has a ventricular ...

While waiting for cardiac transplantation, a patient with severe cardiomyopathy has a ventricular assist device (VAD) implanted. When planning care for this patient, the nurse should anticipate
 
  a. giving immunosuppressive medications.
  b. preparing the patient for a permanent VAD.
  c. teaching the patient the reason for complete bed rest.
  d. monitoring the surgical incision for signs of infection.

Question 2

The central venous oxygen saturation (ScvO2) is decreasing in a patient who has severe pancreatitis. To determine the possible cause of the decreased ScvO2, the nurse assesses the patient's
 
  a. lipase.
  b. temperature.
  c. urinary output.
  d. body mass index.

Question 3

The nurse is caring for a patient who has an intraaortic balloon pump in place. Which action should be included in the plan of care?
 
  a. Position the patient supine at all times.
  b. Avoid the use of anticoagulant medications.
  c. Measure the patient's urinary output every hour.
  d. Provide passive range of motion for all extremities.

Question 4

An intraaortic balloon pump (IABP) is being used for a patient who is in cardiogenic shock. Which assessment data indicate to the nurse that the goals of treatment with the IABP are being met?
 
  a. Urine output of 25 mL/hr
  b. Heart rate of 110 beats/minute
  c. Cardiac output (CO) of 5 L/min
  d. Stroke volume (SV) of 40 mL/beat

Question 5

Which action will the nurse need to do when preparing to assist with the insertion of a pulmonary artery catheter?
 
  a. Determine if the cardiac troponin level is elevated.
  b. Auscultate heart and breath sounds during insertion.
  c. Place the patient on NPO status before the procedure.
  d. Attach cardiac monitoring leads before the procedure.