The health care provider is planning to insert a pulmonary artery catheter into a patient. The nurse realizes this monitoring device is used to: Note: Credit will be given only if all correct choices and no incorrect choices are selected

Select all that apply. 1. Determine hemodynamic stability in heart failure
2. Monitor the effects of vasodilator administration
3. Monitor cardiac function during vascular surgical procedures
4. Assess cardiac output
5. Continuously monitor blood pressure


1,2,3,4
Rationale 1: A pulmonary artery is used to determine hemodynamic stability in cardiac disorders such as heart failure.
Rationale 2: The pulmonary artery catheter is used to guide medication effects such as vasodilators.
Rationale 3: The pulmonary artery catheter is used to monitor cardiac function during vascular procedures such as abdominal aneurysm repair.
Rationale 4: The pulmonary artery catheter is used to assess cardiac output.
Rationale 5: The pulmonary artery catheter is not used to continuously monitor blood pressure.

Nursing

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The nurse is receiving shift report about a patient who has a tracheostomy. The nurse learns that the patient was suctioned seven times during the past shift and has questioned the necessity of such frequent suctioning

Why is it important not to perform unnecessary tracheal suctioning? A) Excessive suctioning can result in bronchospasm. B) Frequent suctioning inhibits the patient's existing cough reflex. C) Excessive suctioning produces "rebound" production of secretions. D) Frequent suctioning is a risk factor for respiratory alkalosis.

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A patient who has been experiencing premenstrual syndrome (PMS) reports to the clinic with a diet diary she has kept over the past several weeks. The nurse should suggest the patient make a dietary modification based on which entry in her diary?

1. daily intake of caffeine-free soda 2. daily intake of low-fat yogurt 3. daily intake of foods rich in magnesium 4. daily intake of white bread

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A novice nurse is stressed due to always being behind with her assignments. She is overheard saying,

, "No one here worries about checking nasogastric tube placement before they give medications and hang feedings. Skipping that step would save me an extra 30 minutes to be used for charting. If they can do it, so can I." This nurse is experiencing which stage of reality shock? a. loner. b. "rutter." c. change agent. d. "native."

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For intubation, a client received 0.5 mg/kg of succinylcholine (Anectine) with a repeat dose of 0.7 mg/kg. The client weighs 154 lbs. How many mg of the medication did the client receive for both doses?

Standard Text: Record your answer rounding to the nearest whole number. What will be an ideal response?

Nursing