This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: When caring for a patient with pulmonary hypertension, which parameter is most appropriate for the ... (Read 57 times)

DelorasTo

  • Hero Member
  • *****
  • Posts: 548
on: Jun 25, 2018
When caring for a patient with pulmonary hypertension, which parameter is most appropriate for the nurse to monitor to evaluate the effectiveness of the treatment?
 
  a. Central venous pressure (CVP)
  b. Systemic vascular resistance (SVR)
  c. Pulmonary vascular resistance (PVR)
  d. Pulmonary artery wedge pressure (PAWP)

Question 2

Following surgery for an abdominal aortic aneurysm, a patient's central venous pressure (CVP) monitor indicates low pressures. Which action is a priority for the nurse to take?
 
  a. Administer IV diuretic medications.
  b. Increase the IV fluid infusion per protocol.
  c. Document the CVP and continue to monitor.
  d. Elevate the head of the patient's bed to 45 degrees.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

meltdown117

  • Sr. Member
  • ****
  • Posts: 326
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: C
PVR is a major contributor to pulmonary hypertension, and a decrease would indicate that pulmonary hypertension was improving. The other parameters also may be monitored but do not directly assess for pulmonary hypertension.

Answer to Question 2

ANS: B
A low CVP indicates hypovolemia and a need for an increase in the infusion rate. Diuretic administration will contribute to hypovolemia and elevation of the head may decrease cerebral perfusion. Documentation and continued monitoring is an inadequate response to the low CVP.


DelorasTo

  • Member
  • Posts: 548
Reply 2 on: Jun 25, 2018
Great answer, keep it coming :)

LegendaryAnswers

  • Member
  • Posts: 341
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates's recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Certain topical medications such as clotrimazole and betamethasone are not approved for use in children younger than 12 years of age. They must be used very cautiously, as directed by a doctor, to treat any child. Children have a much greater response to topical steroid medications.

Did you know?

During pregnancy, a woman is more likely to experience bleeding gums and nosebleeds caused by hormonal changes that increase blood flow to the mouth and nose.

Did you know?

Human stomach acid is strong enough to dissolve small pieces of metal such as razor blades or staples.

Did you know?

A seasonal flu vaccine is the best way to reduce the chances you will get seasonal influenza and spread it to others.

Hemodialysis. The process of hemodialysis replaces the kidney function of blood filtration by forcin Hemodialysis. The process of hemodialysis replaces the kidney function of blood filtration by forcin
Teaching an illterate patient Teaching an illterate patient
Fundus of white pateint and black patient Fundus of white pateint and black patient
All messages must be documented and placed in the patient's chart. All messages must be documented and placed in the patient's chart.
A physician uses a portable electronic tablet to enter patient data while in the examination room. A physician uses a portable electronic tablet to enter patient data while in the examination room.
An open chamber MRI may be more comfortable for the patient, but images may not be as distinct. An open chamber MRI may be more comfortable for the patient, but images may not be as distinct.
Video: Phases of an Action Potential - Resting Potential, Threshold, Rising, Falling, & Recovery Phases

For a complete list of videos, visit our video library