The nurse is caring for a 70-kg patient in septic shock with a pulmonary artery catheter. Which hemodynamic value indicates an appropriate response to therapy aimed at enhancing oxygen delivery to the organs and tissues?

a. Arterial lactate level of 1.0 mEq/L
b. Cardiac output of 2.5 L/min
c. Mixed venous (SvO2 ) of 40%
d. Cardiac index of 1.5 L/min/m2


A
An arterial lactate level of 1.0 mEq/L is within normal limits and is indicative of normal oxygen delivery to the tissues. The cardiac output, mixed venous saturation, and cardiac index values are all below normal limits indicating inadequate cardiac output sufficient to provide oxygen delivery to the organs and tissues.

Nursing

You might also like to view...

Based on the sample time management schedule, the nursing student needs to allow at least _______ hours of sleep

1. 6 2. 12 3. 8 4. 4 5.

Nursing

The nurse is assessing the client's respiratory pattern and notes periods of deep breathing alternating with periods of apnea. When documenting this assessment finding, which term is the most appropriate for the nurse to use?

1. Tachypnea. 2. Obstructive breathing. 3. Hypoventilation. 4. Cheyne-Stokes.

Nursing

A healthcare provider prescribes 250 mL of 0.9% sodium chloride to be infused over 2 hours. A microdrip infusion set is being used. What is the drip rate (drops/min) that the nurse should monitor?

a. 60 b. 75 c. 125 d. 250

Nursing

You are at your family reunion playing football when your uncle takes a hit to his right lateral thorax and is in pain. He asks you if you think he has a rib fracture. You are in a very remote area. What would your next step be?

A) Call a medevac helicopter B) Drive him to the city (4 hours away) C) Press on his sternum and spine simultaneously D) Examine him for tenderness over the injured area

Nursing