A nurse is monitoring the cardiac output of a client who has left-sided heart failure using pulse pressure analysis. Which of the following findings can compromise the readings?
The client is experiencing premature atrial contractions.
The client has bilateral wheezes.
The client has a decreased oxygen saturation level.
The client has lower leg edema.
The Correct Answer is A
A. The client is experiencing premature atrial contractions is correct. Premature atrial contractions can interfere with pulse pressure analysis and affect the accuracy of cardiac output measurements.
B. The client has bilateral wheezes is incorrect. Wheezes affect lung function, not directly the accuracy of pulse pressure analysis for cardiac output.
C. The client has a decreased oxygen saturation level is incorrect. While it is a concern, it does not compromise pulse pressure readings directly.
D. The client has lower leg edema is incorrect. Edema affects peripheral circulation but does not directly compromise pulse pressure measurements for cardiac output.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["100"]
Explanation
- First, calculate the total volume to be infused over the desired time frame: 50 mL over 30 minutes.
- To find the rate in mL/hr, multiply the volume by 2 (since 30 minutes is half an hour), resulting in 100 mL/hr.
- Therefore, the nurse should set the IV pump to deliver 100 mL/hr to administer clindamycin 300 mg over 30 minutes.
Correct Answer is B
Explanation
A. Inspecting for the presence of clubbing is related to chronic respiratory or cardiac conditions, not ataxia.
B. Performing a Romberg's test evaluates balance and proprioception, which is important for assessing the ability to ambulate safely in a person with ataxia.
C. Observing for the presence of Kernig's sign is used to assess for meningeal irritation, not ataxia.
D. Checking the function of cranial nerve V is related to sensation and motor function of the jaw, not to assessing ambulation or balance.
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