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

Author Question: When caring for the patient with a pulmonary artery (PA) pressure catheter, the nurse observes that ... (Read 77 times)

kellyjaisingh

  • Hero Member
  • *****
  • Posts: 540
on: Jun 25, 2018
When caring for the patient with a pulmonary artery (PA) pressure catheter, the nurse observes that the PA waveform indicates that the catheter is in the wedged position. Which action should the nurse take next?
 
  a. Zero balance the transducer.
  b. Activate the fast flush system.
  c. Notify the health care provider.
  d. Deflate and reinflate the PA balloon.

Question 2

The nurse is caring for a patient receiving a continuous norepinephrine (Levophed) IV infusion. Which patient assessment finding indicates that the infusion rate may need to be adjusted?
 
  a. Heart rate is 58 beats/minute.
  b. Mean arterial pressure (MAP) is 56 mm Hg.
  c. Systemic vascular resistance (SVR) is elevated.
  d. Pulmonary artery wedge pressure (PAWP) is low.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

diesoon

  • Sr. Member
  • ****
  • Posts: 353
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: D
When the catheter is in the wedge position, blood flow past the catheter is obstructed, placing the patient at risk for pulmonary infarction. A health care provider or advanced practice nurse should be called to reposition the catheter. The other actions will not correct the wedging of the PA catheter.

Answer to Question 2

ANS: C
Vasoconstrictors such as norepinephrine (Levophed) will increase SVR, and this will increase the work of the heart and decrease peripheral perfusion. The infusion rate may need to be decreased. Bradycardia, hypotension (MAP of 56 mm Hg), and low PAWP are not associated with norepinephrine infusion.


kellyjaisingh

  • Member
  • Posts: 540
Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it

tranoy

  • Member
  • Posts: 344
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

No drugs are available to relieve parathyroid disease. Parathyroid disease is caused by a parathyroid tumor, and it needs to be removed by surgery.

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

Did you know?

People often find it difficult to accept the idea that bacteria can be beneficial and improve health. Lactic acid bacteria are good, and when eaten, these bacteria improve health and increase longevity. These bacteria included in foods such as yogurt.

Did you know?

It is believed that the Incas used anesthesia. Evidence supports the theory that shamans chewed cocoa leaves and drilled holes into the heads of patients (letting evil spirits escape), spitting into the wounds they made. The mixture of cocaine, saliva, and resin numbed the site enough to allow hours of drilling.

Bovine Pulmonary Artery Endothelial cell Bovine Pulmonary Artery Endothelial cell
Symptoms of a patient in shock. Symptoms of a patient in shock.
Digital recording devices can be helpful when providing patient education to visually impaired ... Digital recording devices can be helpful when providing patient education to visually impaired ...
3D Plant Layout - Side View for Dual-Stage Pressure Production of Nitric Acid 3D Plant Layout - Side View for Dual-Stage Pressure Production of Nitric Acid
The popliteal area. Avoid heavy pressure over the back of the knee joint. The popliteal area. Avoid heavy pressure over the back of the knee joint.
Apply pincer pressure to TrPs in sternocleidomastoid (SCM) muscle. Turn head to side to expose SCM; ... Apply pincer pressure to TrPs in sternocleidomastoid (SCM) muscle. Turn head to side to expose SCM; ...
Video: Bone elongation - processes at the epiphyseal plate

For a complete list of videos, visit our video library