The nurse is caring for a client in sinus tachycardia with a heart rate of 121 beats per minute. The nurse knows that the priority intervention for this client is?
When caring for a client who suffered an acute inferior wall…
When caring for a client who suffered an acute inferior wall myocardial infarction with a peak troponin level of 4.9 (elevated), the nurse knows the following to be true: (select all that apply)
The nurse is caring for a 56-year-old client admitted to the…
The nurse is caring for a 56-year-old client admitted to the ICU with an acute subepicardial myocardial infarction (MI). While caring for the client, the nurse will assess for which clinical manifestation specific to this MI?
The nurse is caring for a 57-year-old male who was admitted…
The nurse is caring for a 57-year-old male who was admitted with decompensated systolic heart failure. The client has a history of cardiomyopathy caused by a virus, chronic systolic heart failure, hypertension, and diabetes mellitus type II. The patient has a pulmonary artery catheter in place. The nurse obtains hemodynamics, vital signs, and performs an assessment. That information is provided below:Heart rate/rhythm: 122 BPM, sinus tachycardia with frequent PVCsBlood pressure: 109/65 mmHg (MAP – 80 mmHg)RR: 24SpO2: 97% on 2LTemperature: 98.7’FCentral venous pressure (CVP): 19 mmHgPulmonary artery pressure (PAP): 43/22 mmHgPulmonary capillary wedge pressure (PCWP): 22 mmHgCardiac output (CO): 3.4 L/minCardiac index (CI): 1.9 L/minMixed venous: 54%Client complains of new onset dyspnea at rest and dry cough and feeling anxious.Assessment reveals a cooperative but restless client, alert and oriented x 3, bilateral lower lobe crackles and right middle lobe crackles, mildly increased work of breathing, upper and lower extremities are cool, pedal pulses are weak but palpable, presence of jugular venous distention (JVD), hepatojugular reflex (HJR), and a grade 3/6 systolic murmur is noted over the 5th intercostal space midclavicular line.Use the information above to answer this question. The nurse receives orders from the provider and determines which of the following requires further clarification based on the above patient information?
A client is receiving an amiodarone (Pacerone) infusion for…
A client is receiving an amiodarone (Pacerone) infusion for atrial fibrillation with rapid ventricular rate. The client will eventually be transitioned to oral amiodarone (Pacerone) and will need to take this medication for the next year. The nurse must educate the client that all the following are potential complications of this medication except:
True or False. The most common complication of an intra-aort…
True or False. The most common complication of an intra-aortic balloon pump (IABP) is bleeding from the insertion site.
The nurse is caring for a client who arrived in the ICU two…
The nurse is caring for a client who arrived in the ICU two hours ago following coronary artery bypass graft (CABG) surgery. The nurse notes the systemic vascular resistance (SVR) to be 1600 dynes⋅sec/cm⁵ (800–1400 dynes⋅sec/cm⁵). Which of the following hemodynamics can be caused by the current SVR?
The nurse receives an order for milrinone (Primacor) 0.25mcg…
The nurse receives an order for milrinone (Primacor) 0.25mcg/kg/min. The nurse knows the method of action for this medication for a heart failure patient is to:
The nurse is caring for a client with a pulmonary artery cat…
The nurse is caring for a client with a pulmonary artery catheter and obtains hemodynamics. The current cardiac output (CO) is 2.7 L/min and cardiac index (CI) is 1.4 L/min. Which pulmonary capillary wedge pressure (PCWP), along with the CO and CI, indicates a more unstable client?
The goals of a ventricular assist device (VAD) include all t…
The goals of a ventricular assist device (VAD) include all the following except: