(Complete 150 Q&A) Med Surg II Final Exam Pt 1 |Grade A+

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(Complete 150 Q&A) Med Surg II Final Exam Pt 1 |Grade A+ What is an ability that is a primary difference in the skills of a certified critical care nurse compared with nurses certified in medical s... urgical nursing? {{Ans:- Use advanced technology to assess and maintain physiological function What is a nursing intervention that is indicated for the patient in the ICU who has a nursing diagnosis of anxiety related to the ICU environment and sensory overload? {{Ans:- Eliminate unnecessary alarms and overhead paging. Why should the critical care nurse include caregivers of the patient in the ICU as part of the health care team? {{Ans:- Caregivers play a valuable role in the patients recovery. What factor will cause a decrease in cardiac output? {{Ans:- Decrease Heart Rate. The patient with SOB is scheduled for an impendance cardiography to differentiate if the cause is cardiac or pulmonary. How should the nurse best explain this test to the patient? {{Ans:- Thoracic fluid status is determined by changes in impendance with each heartbeat. The patient has experienced an increasing preload, which supports an increase in CO. What nursing action contributes to an increased preload? {{Ans:- Increased fluid administration. During hemodynamic monitoring, the nurse finds that the patient has a decreased CO with unchanged pulmonary artery wedge pressure (PAWP), HR and SVR. The nurse identifies that the patient has a decrease in what? {{Ans:- Contractility Before taking hemodynamic measurements, how must the nurse reference the monitoring equipment? {{Ans:- Position the stopclock nearest the transducer level with the phlebostatic axis. What does the pressure of the Pulmonary Artery Cather measure? {{Ans:- The pressure obtained when the balloon of the pulmonary artery catheter is inflated reflects the preload of the left ventricle. In preparing the patient for insertion of a pulmonary catheter, what should the nurse do? {{Ans:- Ensure that the patient has continuous electrocardiographic (ECG) monitoring. What is a rationale for the use of a pulmonary artery catheter instead of arterial pressure- based CO (APCO) monitoring? {{Ans:- Needs research for accuracy with more specific illnesses and treatments. Which description accurately describes the continuous CO (CCO) method and not the intermittent bolus thermodilution CO (TDCO) method of determining CO? {{Ans:- The digital measurements reflect the average CO every 30 to 60 seconds. A patient has central venous oxygen saturation/ mixed venous oxygen saturation of 50%, CO of 4.8L/min, SpO2 of 95% and an unchanged hemoglobin level. What should the nurse assess the patient for? {{Ans:- Pain on movement. The nurse observes a PAWP waveform on the monitor when the balloon of the patient's pulmonary artery catheter is deflated. What should the nurse recognize about this situation? {{Ans:- The catheter must be immediately repositioned to prevent pulmonary infarction or pulmonary artery rupture. A patient with which disorder would benefit from the use of the intraaortic balloon pump (IABP)? {{Ans:- Acute myocardial infarction with cardiogenic shock. Which statement about the function of the IABP is accurate? {{Ans:- During intraaortic counterpulsation, the ballon is inflated during diastole. What should the nurse do to prevent arterial trauma during the use of the IABP? {{Ans:- Prevent hip flexion of the cannulated leg. [Show More]

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