NR341 COMPLEX ADULT HEALTH LATEST EXAM ACTUAL EXAM WITH UPDATED QUESTIONS AND VERIFIED ANSWERS (GRADED A+)
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Course
NR341 COMPLEX ADULT HEALTH
Institution
NR341 COMPLEX ADULT HEALTH
NR341 COMPLEX ADULT HEALTH LATEST EXAM 2 2024
2025 ACTUAL EXAM WITH UPDATED QUESTIONS AND
VERIFIED ANSWERS (GRADED A+)
The nurse is caring for a 100-kg patient being monitored with a
pulmonary artery catheter. The nurse assesses a blood pressure
of 90/60 mm Hg, heart rate 110 beats/min, re...
The nurse is caring for a 100-kg patient being monitored with a
pulmonary artery catheter. The nurse assesses a blood pressure
of 90/60 mm Hg, heart rate 110 beats/min, respirations 36/min,
oxygen saturation of 89% on 3 L of oxygen via nasal cannula.
Bilateral crackles are audible upon auscultation. Which
hemodynamic value requires immediate action by the nurse? -
ANSWER-Cardiac index (CI) of 1.2 L/min/m3
While caring for a patient with a small bowel obstruction, the
nurse assesses a pulmonary artery occlusion pressure (PAOP) of
1 mm Hg and hourly urine output of 5 mL. The nurse anticipates
which therapeutic intervention? - ANSWER-Intravenous fluids
The nursing is caring for a patient who has had an arterial line
inserted. To reduce the risk of complications, what is the priority
nursing intervention? - ANSWER-Ensure all tubing connections
are tightened.
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While caring for a patient with a pulmonary artery catheter, the
nurse notes the pulmonary artery occlusion pressure (PAOP) to
be significantly higher than previously recorded values. The nurse
assesses respirations to be unlabored at 16 breaths/min, oxygen
saturation of 98% on 3 L of oxygen via nasal cannula, and lungs
clear to auscultation bilaterally. What is the priority nursing
action? - ANSWER-Zero reference and level the catheter at the
phlebostatic axis.
A patient is admitted to the hospital with multiple trauma and
extensive blood loss. The nurse assesses vital signs to be BP
80/50 mm Hg, heart rate 135 beats/min, respirations 36
breaths/min, cardiac output (CO) of 2
L/min, systemic vascular resistance of 3000 dynes/sec/cm-5, and
a hematocrit of 20%. The nurse anticipates administration of
which the following therapies or medications? - ANSWER-Blood
transfusion
After pulmonary artery catheter insertion, the nurse assesses a
pulmonary artery pressure of 45/25 mm Hg, a pulmonary artery
occlusion pressure (PAOP) of 20 mm Hg, a cardiac output of 2.6
L/min and a cardiac index
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of 1.9 L/min/m2. Which physician order is of the highest priority? -
ANSWER-Begin a dobutamine (Dobutrex) infusion.
The nurse is caring for a patient with a left subclavian central
venous catheter (CVC) and a left radial arterial line. Which
assessment finding by the nurse requires immediate action? -
ANSWER-Numbness and tingling in the left hand
The physician writes an order to discontinue a patients left radial
arterial line. When discontinuing the patients invasive line, what is
the priority nursing action? - ANSWER-Apply pressure to the
insertion site for 5 minutes.
Following insertion of a central venous catheter, the nurse obtains
a stat chest x-ray film to verify proper catheter placement. The
radiologist reports to the nurse: The tip of the catheter is located
in the superior vena cava. What is the best interpretation of these
results by the nurse? - ANSWER-The distal tip of the catheter is
in the appropriate position.
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While inflating the balloon of a pulmonary artery catheter (PAC)
with 1.0 mL of air to obtain a pulmonary artery occlusion pressure
(PAOP), the nurse encounters resistance. What is the best
nursing action? - ANSWER-Deflate the balloon and obtain a chest
x-ray study to determine line placement.
The nurse is caring for a patient following insertion of a left
subclavian central venous catheter (CVC). Which assessment
finding 2 hours after insertion by the nurse warrants immediate
action? - ANSWER-Diminished breath sounds over left lung field
The nurse is caring for a mechanically ventilated patient with a
pulmonary artery catheter who is receiving continuous enteral
tube feedings. When obtaining continuous hemodynamic
monitoring measurements, what is the best nursing action? -
ANSWER-Level and zero reference the air-fluid interface of the
transducer with the patients head of bed elevated to 30 degrees
and record hemodynamic values.
The nurse is educating a patients family member about a
pulmonary artery catheter (PAC). Which statement by the family
member best indicates understanding of the purpose of the PAC?
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