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The nurse is caring for a patient who has invasive hemodynamic monitoring. The h

colleen

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11 years ago

The nurse is caring for a patient who has invasive hemodynamic monitoring. The h

The nurse is caring for a patient who has invasive hemodynamic monitoring. The highest priority of care for this patient is which of the following?
1. Prevent infection at the catheter site by changing the dressing as prescribed.
2. Set alarm limits and turn monitor alarms on.
3. Explain to family members why the monitoring is in use.
4. Coil IV tubing on the bed.

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Kassie

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11 years ago

2. Set alarm limits and turn monitor alarms on.

1 and 3 are appropriate actions but not what you need to do first, ensuring safety of the patient after you set them to the monitor before you explain to family members or changing the dressing.. You should not coil the IV on the bed, doing that will disrupt flow.

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robertling

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11 years ago

Alarms should never be turned off as they are safety devices that warn of a disconnected line or hemodynamic instability. Alarms should always be investigated since they are suspended only when drawing blood or changing tubing. Prevention of infection by changing dressings is important but not the priority of care. Keeping family members informed about monitoring is important, but again, not the priority of care. Coiling the IV tubing on the bed is contraindicated.

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