A client was admitted to the intensive care unit after having an abdominal aortic aneurysm resection. The client's cardiac monitor shows a heart rate of 110. The clients hemodynamic monitoring shows a Central Venous Pressure (CVP): 1 mmHg and a Pulmonary Arterial Wedge Pressure (PAWP): 3 mmHg. Which health care provider order would the nurse anticipate receiving?
Monitor hemodynamic monitoring parameters again in one hour.
Administer Furosemide (Lasix) 20mg IVP.
Decrease IV Fluids to 75ml/hr and recheck hemodynamic parameters.
Administer 0.9% Normal Saline @ 150ml/hr
The Correct Answer is D
A. Although monitoring hemodynamic parameters is important, this option does not address the immediate issue of low preload, as indicated by the low CVP and PAWP, suggesting hypovolemia.
B. Furosemide is a diuretic and would further decrease intravascular volume, which is inappropriate given the signs of hypovolemia.
C. Decreasing IV fluids would exacerbate the low preload and worsen the client's condition by reducing intravascular volume even further.
D. Administering 0.9% Normal Saline @ 150 mL/hr is the most appropriate intervention. The low CVP and PAWP indicate hypovolemia, and increasing fluid administration will help to increase the preload, thereby improving the client's hemodynamic status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Assessing respiratory status is the priority in heart failure exacerbation, as respiratory distress can rapidly worsen and affect oxygenation.
B. While knowing current medications is important, the priority in this situation is addressing the client's respiratory needs.
C. Administering furosemide is part of the management plan but should follow the initial assessment of the client's condition, especially respiratory status.
D. Drawing blood is helpful but not the immediate priority in managing acute heart failure exacerbation.
Correct Answer is D
Explanation
A. Testicular torsion: While testicular torsion is an emergency and can cause pain and damage, it is not directly linked to testicular cancer risk.
B. Sexually transmitted infections: Although STIs can affect reproductive health, they are not a known significant risk factor for testicular cancer.
C. Testicular trauma: Testicular trauma may cause injury but is not a major risk factor for testicular cancer.
D. Undescended testicles: This is the correct answer. Undescended testicles, or cryptorchidism, is a well-established risk factor for testicular cancer, as it increases the likelihood of developing the condition.
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