A client has hemodynamic monitoring after a myocardial infarction. What safety precaution does the nurse implement for this client?
a. Document pulmonary artery wedge pressure (PAWP) readings and assess their trends.
b. Ensure the balloon does not remain wedged.
c. Keep the client on strict NPO status.
d. Maintain the client in a semi-Fowler's position.
ANS: B
If the balloon remains inflated, it can cause pulmonary infarction or rupture. The nurse should ensure the balloon remains deflated between PAWP readings. Documenting PAWP readings and assessing trends is an important nursing action related to hemodynamic monitoring, but is not specifically related to safety. The client does not have to be NPO while undergoing hemodynamic monitoring. Positioning may or may not affect readings.
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