Critical Care Nursing Cardiac Questions

Critical Care Nursing Cardiac Questions Related

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Family members have a need for information. Which intervention best assists in meeting this need?

  • A. Handing family members a pamphlet that explains all of the critical care equipment
  • B. Providing a daily update of the patient’s progress and f acilitating communication with the intensivist
  • C. Telling them that you are not permitted to give them a status report but that they can be present at 4:00 PM for family rounds with the intensivist
  • D. Writing down a list of all new medications and doses a nd giving the list to family members during visitation
Correct Answer: B

Rationale: The correct answer is B because providing a daily update of the patient's progress and facilitating communication with the intensivist directly addresses the family members' need for information in a timely and personalized manner. This intervention ensures that the family is kept informed about the patient's condition and treatment plan, fostering transparency and trust. It also allows for any questions or concerns to be addressed promptly, aiding in the family's understanding and involvement in the patient's care.

Now, let's summarize why the other choices are incorrect:
A: Handing out a pamphlet may provide information, but it lacks the personalized touch and real-time updates that are crucial for meeting the family's need for information.
C: Restricting information and only allowing family members to be present at specific times may create frustration and hinder communication, not effectively meeting their information needs.
D: Providing a list of medications is helpful, but it does not offer a comprehensive update on the patient's progress or facilitate direct communication with the medical team, which are

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Following surgery for an abdominal aortic aneurysm, the patient’s central venous pressure (CVP) monitor indicates low pressures. Which action is a priority for the nurse to take?

  • A. Administer IV diuretic medications.
  • B. Increase the IV fluid infusion per protocol.
  • C. Document the CVP and continue to monitor.
  • D. Elevate the head of the patient's bed to 45 degrees.
Correct Answer: B

Rationale: The correct answer is B: Increase the IV fluid infusion per protocol. Low CVP post-abdominal aortic aneurysm surgery could indicate hypovolemia, which requires fluid resuscitation. Increasing IV fluid infusion helps restore intravascular volume, improve tissue perfusion, and prevent hypotension. Administering diuretics (A) would worsen hypovolemia. Documenting (C) is important but not the priority when the patient needs immediate intervention. Elevating the head of the bed (D) may help with venous return but is not the priority over addressing hypovolemia.

What term is used to describe a specific request made by a competent person that directs medical care related to life-prolonging procedures if the pa tient loses capacity to make decisions?

  • A. Do not resuscitate order
  • B. Healthcare proxy
  • C. Informed consent
  • D. Living will
Correct Answer: D

Rationale: The correct answer is D, Living will. A living will is a legal document that outlines a person's preferences for medical treatment if they become unable to communicate their wishes. It specifically addresses life-prolonging procedures. Option A, Do not resuscitate order, is a specific directive to not perform CPR in case of cardiac arrest, not a comprehensive medical care directive. Option B, Healthcare proxy, is a person designated to make medical decisions on behalf of a patient who is unable to do so, not the specific directive itself. Option C, Informed consent, refers to the process of obtaining permission from a patient before conducting a healthcare intervention, not a directive for life-prolonging procedures.

The nurse cites evidence-based practice as a rationale for a patient care decision. What isthe best description of evidence-based practice?

  • A. Decisions based on expert legal testimony
  • B. Use of best available research data
  • C. Evolution of nursing practice over time
  • D. Individual optimization of patient outcomes
Correct Answer: B

Rationale: The correct answer is B: Use of best available research data. Evidence-based practice involves integrating the best available research evidence with clinical expertise and patient values to make informed decisions about patient care. It emphasizes using scientifically proven data to guide practice and improve patient outcomes. Expert legal testimony (A) is not necessarily evidence-based. Evolution of nursing practice over time (C) does not specifically focus on research data. Individual optimization of patient outcomes (D) is a goal of evidence-based practice, but it does not fully encompass the concept.

The nurse is preparing to measure the thermodilution cardaiabicrb o.cuomtp/tuest t (TdCO) in a patient being monitored with a pulmonary artery catheter. Which action by the nurse best ensures the safety of the patient?

  • A. Ensure the transducer system is zero referenced at the level of the phlebostatic axis.
  • B. Avoid infusing vasoactive agents in the port used to ob tain the TdCO measurement.
  • C. Maintain a pressure of 300 mm Hg on the flush solutioanbi rub.scionmg/t eas tp ressure bag.
  • D. Limit the length of the noncompliant pressure tubing to a maximum 48 inches.
Correct Answer: B

Rationale: The correct answer is B: Avoid infusing vasoactive agents in the port used to obtain the TdCO measurement. This action ensures patient safety by preventing the introduction of vasoactive agents directly into the bloodstream during the measurement process. Infusing vasoactive agents can lead to inaccurate TdCO readings and potentially harm the patient.

Choice A is incorrect because zero referencing the transducer system at the level of the phlebostatic axis is important for accurate pressure monitoring but not directly related to TdCO measurement safety.

Choice C is incorrect as maintaining a pressure of 300 mm Hg on the flush solution bag is not directly related to the safety of TdCO measurement.

Choice D is incorrect as limiting the length of noncompliant pressure tubing is important for accurate pressure readings but not directly related to the safety of TdCO measurement.

Which is likely the most common recollection from a patie nt who required endotracheal intubation and mechanical ventilation?

  • A. Difficulty communicating
  • B. Inability to get comfortable
  • C. Pain
  • D. Sleep disruption
Correct Answer: A

Rationale: The correct answer is A: Difficulty communicating. When a patient undergoes endotracheal intubation and mechanical ventilation, they are unable to speak normally. This leads to frustration and anxiety due to the inability to communicate effectively with healthcare providers and loved ones. The lack of communication can also impact their emotional well-being. Choices B, C, and D are less likely as the most common recollection because patients might not remember feeling uncomfortable, experiencing pain, or having sleep disruption during sedation and ventilation. Additionally, the inability to communicate is a primary concern for patients in this situation.

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