The charge nurse has a Vigileo pulse contour cardiac output monitoring system available for use in the surgical intensive care unit. For which patient is use of this device most appropriate?
a. A patient with a history of aortic insufficiency admitted with a postoperative myocardial infarction
b. A mechanically ventilated patient with cardiogenic shock being treated with an intraaortic balloon pump
c. A patient with a history of atrial fibrillation having frequent episodes of paroxysmal supraventricular tachycardia
d. A mechanically ventilated patient admitted following repair of an acute bowel obstruction
D
Pulse contour analysis systems provide stroke volume variation and pulse pressure variation data and are better predictors of fluid responsiveness in mechanically ventilated patients. A patient postoperative from repair of an acute bowel obstruction that is mechanically ventilated is an appropriate candidate for this method of monitoring.
Aortic insufficiency, intraaortic balloon pump therapy, and the presence of cardiac dysrhythmias are conditions in which pulse contour analysis systems are either inaccurate or contraindicated.
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The nurse is providing care for a client of Asian descent who admits to an alcohol addiction. The client admits to being able to hide the addiction from family and friends
Based on this data, which independent nursing intervention is appropriate for this client? A) Assertiveness training B) Milieu therapy C) Family therapy D) Communication training
The nurse is to measure the client's blood pressure. The equipment needed includes a:
a. thermometer and sphygmomanometer. b. stethoscope and thermometer. c. scales and stethoscope. d. stethoscope and sphygmomanometer.
Which statement describes the role of the nurse in research?
a. Nurses must be prepared at the baccalaureate or higher level of education to have any role in nursing research. b. Nurses with master's or higher levels of education are solely responsible for applying research to clinical practice. c. The research role of nurses prepared at both baccalaureate and master's levels of education includes critical appraisal skills. d. Regardless of the nursing education level, only the nurse with the most comprehensive understanding of statistical methods should interpret research findings.
A realistic outcome of patient teaching about psychotropic medication is that the patient will
a. understand physiologic responses to drug therapy. b. assess effectiveness of prescribed drugs in controlling symptoms. c. describe onset, peak, and duration of action of each drug prescribed. d. state the purpose, dose, and significant side effects of each drug prescribed.