NR341 COMPLEX ADULT HEALTH EXAM 2 LATEST 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 EXAM 2 LATEST 2024
2025 WITH UPDATED QUESTIONS AND VERIFIED ANSWERS
(GRADED A+)
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
b...
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
of 1.9 L/min/m2. Which physician order is of the highest priority? -
ANSWER-Begin a dobutamine (Dobutrex) infusion.
,2|Page
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.
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.
,3|Page
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?
- ANSWER-The catheter will allow the physician to better manage
fluid therapy.
, 4|Page
The nurse is preparing to obtain a pulmonary artery occlusion
pressure (PAOP) reading for a patient who is mechanically
ventilated. Ensuring that the air-fluid interface is at the level of the
phlebostatic axis, what is the best nursing action? - ANSWER-
Place the patient with the head of bed elevated 30 degrees and
record the PAOP just before the increase in pressures during
inhalation.
The charge nurse is supervising care for a group of patients
monitored with a variety of invasive hemodynamic devices. Which
patient should the charge nurse evaluate first? - ANSWER-A
patient with a pulmonary artery occlusion pressure of 25 mm Hg
and an oxygen saturation of 89% on 3 L of oxygen via nasal
cannula
The nurse is caring for a patient following insertion of a left
subclavian central venous catheter (CVC). Which action by the
nurse best reduces the risk of catheter- related bloodstream
infection (CRBSI)? - ANSWER-Review daily the necessity of the
central venous catheter.
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