NURSING > EXAM > MED SURG 2 Hemodynamic NCLEX Exam | Hemodynamic NCLEX Exam (All)

MED SURG 2 Hemodynamic NCLEX Exam | Hemodynamic NCLEX Exam

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MED SURG 2 Hemodynamic NCLEX Exam | Hemodynamic NCLEX Exam A client in the ICU has an abnormal pulmonary artery wedge pressure. What should the nurse do? Retake the measurement and Look at this finding in relation to other measurements. 1. The nurse has just measured a client's cardiac output using the thermodilution method. The findings show a notched, uneven curve. What should the nurse do with these results? Repeat the measurement. A small curve indicates a high CO, a large curve indicates a low CO, and a notched or uneven curve indicates a poor injection technique and should be repeated. 2. A client is having a continuous cardiac output pulmonary artery catheter placed. Which of the following would be indicated for this client? The cardiac output measurements will change according to the measuring device's findings and the findings from this catheter are consistently accurate. 3. The nurse is planning the care for a client with an elevated right atrial pressure. Which of the following should be included in this plan of care? Administer vasodilating medications as prescribed and Monitor intake and output. Care is directed toward optimizing preload by reducing volume. Overall goals are to decrease venous return to the right heart, increase contractility, and decrease the workload of the heart. Preload can be reduced by fluid and sodium restrictions and the administration of diuretics or vasodilating medications. Nursing care should include intake and output, daily weights, dietary consult for any restrictions, and medication teaching to enhance adherence. - - - - - - - - - 9. The nurse is concerned about a client who is demonstrating signs of worsening fluid volume overload. What is causing the nurse to come to this conclusion? Increasing dyspnea. Evaluate ABGs for metabolic or respiratory acidosis, assess for dyspnea, any abnormal breath sounds, any extra heart sounds, jugular vein distention, ascites, weight gain, or abnormal electrolyte levels. 10. The nurse in the coronary care ICU is planning to draw blood to determine if a client has sustained a myocardial infarction. List the laboratory tests that would provide this information for the nurse CPK-MB and Troponin

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