The nurse is caring for a patient with a left radial arterial line and a pulmonary artery catheter inserted into the right subclavian vein. Which action by the nurse best ensures the safety of the patient being monitored with invasive hemodynamic monitoring lines?

Document all waveform values.

Limit the pressure tubing length.

Zero reference the system daily.

Ensure alarm limits are turned on

Answer and Explanation

The Correct Answer is D

A. Documentation of waveform values is important but does not directly enhance patient safety during monitoring.

B. Limiting the pressure tubing length can help maintain accuracy, but it is not the primary safety measure.

C. Zero referencing is crucial for accurate readings, but it must be done in conjunction with ensuring alarms are active.

D. Ensuring that alarm limits are turned on and appropriately set is the best safety measure to immediately alert the nurse to any critical changes in the patient's status.

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Correct Answer is C

Explanation

A. Secondary hypertension is high blood pressure due to an identifiable cause, such as renal disease, but it does not describe an acute situation with target organ damage.

B. Hypertensive urgency is a situation where the blood pressure is severely elevated but without evidence of target organ damage.

C. Hypertensive emergency is characterized by severely elevated blood pressure with evidence of acute target organ damage, such as encephalopathy, myocardial infarction, or renal failure, requiring immediate medical intervention.

D. Primary hypertension, also known as essential hypertension, is high blood pressure without a known secondary cause and does not describe an acute emergency.

A. Take the family members quickly out of the patient room and remain with them. B. Tell the family members that watching the resuscitation will be very stressful. C. Ask family members if they wish to remain in the room during the resuscitation. D. Assign a staff member to wait with family members just outside the patient room.

Correct Answer is C

Explanation

A. Quickly removing the family members may add to their distress and does not respect their right to decide.

B. Telling them it will be stressful assumes their reaction without giving them a choice.

C. Allowing the family members to choose whether to stay respects their autonomy and can provide comfort during a difficult time. It is also in line with current best practices for family presence during resuscitation.

D. Assigning a staff member to wait outside is appropriate but should be done after offering the family the option to stay in the room.

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The nurse is caring for a patient with a left radial arterial line and a pulmonary artery catheter inserted into the right subclavian vein. Which action by the nurse best ensures the safety of the patient being monitored with invasive hemodynamic monitoring lines?

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Naxlex Comprehensive Predictor Exams

Which of the following describes a situation in which the blood pressure is severely elevated and there is evidence of actual target organ damage?

Correct Answer is C

Explanation

While close family members are visiting, a patient has a respiratory arrest, and resuscitation is started. Which action by the nurse is best?

Correct Answer is C

Explanation

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The nurse is caring for a patient with a left radial arterial line and a pulmonary artery catheter inserted into the right subclavian vein. Which action by the nurse best ensures the safety of the patient being monitored with invasive hemodynamic monitoring lines?

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