ATI Cardiodynamics and Hemodynamics Regulation Chapter 5: Perrin: Understanding the Essentials of Critical Care Nursing: Chamberlain College of Nursing NR
... [Show More] 341 (A Graded) Latest Questions and Complete Solutions
Perrin: Understanding the Essentials of Critical Care Nursing Chapter 5: Cardiodynamics and Hemodynamics Regulation
MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the ques
1) A patient has a blood pressure of 134/70 per blood pressure cuff and a blood pressure of 90/50 per arterial line. The nurse should:
A) Discontinue the arterial line immediately.
B) Check the level of the transducer and relevel and rezero the system.
C) Do nothing because this is a normal variation between the two methods of measurement.
D) Begin the infusion of a dopamine drip.
Answer: B
Explanation: A) The placement of the transducer is essential for accurate measurement. It must be level with the phlebostatic axis in order for the monitoring system to be accurate. #1 is not done at this time because the system needs to be assessed first. #3 is not correct becaus there is only a 5 to 15 mm Hg difference between the direct and indirect measurements. #4 is not correct because more information and data are needed before a vasoactive dru is used.
Nursing Process: Implementation Cognitive Level: Analysis
Category of Need: Physiologic Integrity–Physiologic Adaptation
B) The placement of the transducer is essential for accurate measurement. It must be level with the phlebostatic axis in order for the monitoring system to be accurate. #1 is not done at this time because the system needs to be assessed first. #3 is not correct becaus there is only a 5 to 15 mm Hg difference between the direct and indirect measurements. #4 is not correct because more information and data are needed before a vasoactive dru is used.
Nursing Process: Implementation Cognitive Level: Analysis
Category of Need: Physiologic Integrity–Physiologic Adaptation
C) The placement of the transducer is essential for accurate measurement. It must be level with the phlebostatic axis in order for the monitoring system to be accurate. #1 is not done at this time because the system needs to be assessed first. #3 is not correct becaus there is only a 5 to 15 mm Hg difference between the direct and indirect measurements. #4 is not correct because more information and data are needed before a vasoactive dru is used.
Nursing Process: Implementation Cognitive Level: Analysis
Category of Need: Physiologic Integrity–Physiologic Adaptation
D) The placement of the transducer is essential for accurate measurement. It must be level with the phlebostatic axis in order for the monitoring system to be accurate. #1 is not done at this time because the system needs to be assessed first. #3 is not correct becaus there is only a 5 to 15 mm Hg difference between the direct and indirect measurements. #4 is not correct because more information and data are needed before a vasoactive dru is used.
Nursing Process: Implementation Cognitive Level: Analysis
Category of Need: Physiologic Integrity–Physiologic Adaptation
2) The nurse is monitoring a patient's pulmonary vascular resistance. Which value is the normal value? A) 100- 250 mm Hg
B) 10- 250 dynes/sec/cm2
C) 400- 800 mm Hg
D) 800- 1400 dynes/sec/cm2
Answer: B
Explanation: A) The pulmonary system is a lo-wpressure system. The pressure of the vascular system is measured in dynes/sec/c2mdue to factors of flow, resistance, and time. #1 and #3 are not correct because mm Hg is used to measure pressure only. #4 is not correct because this the value for SVR.
Nursing Process: Assessment Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
B) The pulmonary system is a lo-wpressure system. The pressure of the vascular system is measured in dynes/sec/c2mdue to factors of flow, resistance, and time. #1 and #3 are not correct because mm Hg is used to measure pressure only. #4 is not correct because this the value for SVR.
Nursing Process: Assessment Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
C) The pulmonary system is a lo-wpressure system. The pressure of the vascular system is measured in dynes/sec/c2mdue to factors of flow, resistance, and time. #1 and #3 are not correct because mm Hg is used to measure pressure only. #4 is not correct because this the value for SVR.
Nursing Process: Assessment Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
D) The pulmonary system is a lo-wpressure system. The pressure of the vascular system is measured in dynes/sec/c2mdue to factors of flow, resistance, and time. #1 and #3 are not correct because mm Hg is used to measure pressure only. #4 is not correct because this the value for SVR.
Nursing Process: Assessment Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation [Show Less]