After pulmonary artery catheter insertion, the nurse assesses a pulmonary artery pressure of 45/25 mm Hg, a pulmonary artery occlusion pressure (PAOP) of 20 mm Hg, a cardiac output of 2.6 L/min and a cardiac index of 1.9 L/min/m2. Which physician order is of the highest priority?No worries, learning is a process!Apply 50% oxygen via venture mask.Insert an indwelling urinary catheter.Begin a dobutamine (Dobutrex) infusion.Obtain stat cardiac enzymes and troponin.

While caring for a patient with a pulmonary artery catheter, the nurse notes the pulmonary artery occlusion pressure (PAOP) to be significantly higher than previously recorded values. The nurse assesses respirations to be unlabored at 16 breaths/min, oxygen saturation of 98% on 3 L of oxygen via nasal cannula, and lungs clear to auscultation bilaterally. What is the priority nursing action?Not quite, you're still learning!Increase supplemental oxygen and notify respiratory therapy.Notify the physician immediately of the assessment findings.Obtain a stat chest x-ray film to verify proper catheter placement.Zero reference and level the catheter at the phlebostatic axis.

he nurse is caring for a 100-kg patient being monitored with a pulmonary artery catheter. The nurse assesses a blood pressure of 90/60 mm Hg, heart rate 110 beats/min, respirations 36/min, oxygen saturation of 89% on 3 L of oxygen via nasal cannula. Bilateral crackles are audible upon auscultation. Which hemodynamic value requires immediate action by the nurse?No worries, learning is a process!Cardiac index (CI) of 1.2 L/min/m3Cardiac output (CO) of 4 L/minPulmonary vascular resistance(PVR) of 80 dynes/sec/cm-Systemic vascular resistance (SV) of 1800 dynes/sec/cm-5

While inflating the balloon of a pulmonary artery catheter (PAC) with 1.0 mL of air to obtain a pulmonary artery occlusion pressure (PAOP), the nurse encounters resistance. What is the best nursing action?Not quite, you're still learning!Add an additional 0.5 mL of air to the balloon and repeat the procedure.Advance the catheter with the balloon deflated and repeat the procedure.Deflate the balloon and obtain a chest x-ray study to determine line placement.Lock the balloon in the inflated position and flush the distal port of the PAC with normal saline.

The nurse returns from the cardiac catheterization laboratory with a patient following insertion of a pulmonary artery catheter and assists in transferring the patient from the stretcher to the bed. Prior to obtaining a cardiac output, which action is most important for the nurse to complete?No sweat, you're still learning!Document a pulmonary artery catheter occlusion pressure.Zero reference the transducer system at the phlebostatic axis.Inflate the pulmonary artery catheter balloon with 1 mL air.Inject 10 mL of 0.9% normal saline into the proximal port.

32) A patient with shock of unknown etiology whose hemodynamic monitoring indicatesa BP 92/54, pulse 64, and an elevated pulmonary artery wedge pressure has thefollowing collaborative interventions prescribed. Which intervention will the nursequestion?(a) Infuse normal saline at 250ml/hr(b) Keep head of bed elevated to 30 degrees(c) Give nitroprusside unless systolic BP is less than 90 mmHg(d) Administer dobutamine to keep systolic BP greater than 90 mmHg