The nurse planning care for a client with a pulmonary embolism would include which of the following interventions to assist with the client's decrease in cardiac output?
1. Assess for bleeding
2. Keep protamine sulfate at the bedside
3. Provide oxygen
4. Monitor pulmonary arterial pressures
4. Monitor pulmonary arterial pressures
Rationale:
The client with a pulmonary embolism and decreased cardiac output is at risk for developing right heart failure. The nurse should monitor pulmonary arterial pressures. Assessing for bleeding and keeping protamine sulfate at the bedside would be appropriate for the client with ineffective protection. Oxygen would be appropriate for the client with impaired gas exchange.
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