Author Question: Which hemodynamic parameter is most appropriate for the nurse to monitor to determine the ... (Read 107 times)

Anajune7 · **on:** Jun 25, 2018

Which hemodynamic parameter is most appropriate for the nurse to monitor to determine the effectiveness of medications given to a patient to reduce left ventricular afterload?

a. Mean arterial pressure (MAP)
b. Systemic vascular resistance (SVR)
c. Pulmonary vascular resistance (PVR)
d. Pulmonary artery wedge pressure (PAWP)

Question 2

While family members are visiting, a patient has a respiratory arrest and is being resuscitated. Which action by the nurse is best?

a. Tell the family members that watching the resuscitation will be very stressful.
b. Ask family members if they wish to remain in the room during the resuscitation.
c. Take the family members quickly out of the patient room and remain with them.
d. Assign a staff member to wait with family members just outside the patient room.

kescobar@64 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
Systemic vascular resistance reflects the resistance to ventricular ejection, or afterload. The other parameters will be monitored, but do not reflect afterload as directly.

Answer to Question 2

ANS: B
Research indicates that family members want the option of remaining in the room during procedures such as cardiopulmonary resuscitation (CPR) and that this decreases anxiety and facilitates grieving. The other options may be appropriate if the family decides not to remain with the patient.