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

[Tazate]

The nurse is caring for a patient who has invasive hemodynamic monitoring. What would be the highest priority of care for this patient?
 
  1. preventing infection at the catheter site by changing the dressing as prescribed
  2. setting alarm limits and turning monitor alarms on
  3. explaining to family members why the monitoring is in use
  4. coiling IV tubing on the bed

Question 2

The nurse is caring for a patient in the critical care area whose fluid volume status needs to be closely assessed. Which type of monitoring should the nurse expect for this patient?
 
  1. arterial pressure monitoring
  2. pulmonary artery pressure monitoring
  3. central venous pressure (CVP) monitoring
  4. intra-aortic balloon pump monitoring

[Dinolord]

Answer to Question 1

Correct Answer: 2
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 because they are silenced only when blood is drawn or tubing changed. Keeping family members informed about monitoring and preventing infection by changing dressings are important but not the priority of care. Coiling the IV tubing on the bed is contraindicated.

Answer to Question 2

Correct Answer: 3
CVP is used to monitor fluid volume status. Arterial pressure monitoring would not measure central venous pressure. Pulmonary artery pressure monitoring is used to evaluate left ventricular and overall cardiac function. An intra-aortic balloon pump is not used for pressure monitoring.