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

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?No sweat, you're still learning!Arterial lactate level of 1.0 mEq/LCardiac output of 2.5 L/minMixed venous (SvO2 ) of 40%Cardiac index of 1.5 L/min/m2

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.

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.

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

Following major abdominal surgery, a male client's arterial blood gas analysis reveals Pa02 95 mmHg and PaC02 50 mmHg. He is receiving oxygen by nasal cannula at 4 liters/minute and is reluctant to move in bed or deep breathe. Based on this information, what action should the nurse implement at this time?