The nurse caring for a patient with hemodynamic monitoring would collaborate with a physician colleague to implement which intervention?
1. Changing the dosages (titrating) of medications based on changes in hemodynamic pressures
2. Using sterile technique to clean the site of insertion of the catheter and changing the dressing
3. Inflating the balloon in the pulmonary artery to obtain pulmonary artery occlusion pressures
4. Advancing the catheter if the radiologist determines it is not in the pulmonary artery
4
Rationale 1: It is within the nurse's scope of practice to titrate medications based on patient response to therapy.
Rationale 2: Cleaning and dressing the insertion site of a hemodynamic catheter is within the nurse's scope of practice.
Rationale 3: Inflating the pulmonary artery catheter balloon to obtain pressure readings is within the nurse's scope of practice.
Rationale 4: The nurse does not advance the catheter through the heart.
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