Where is a Swan-Ganz catheter typically placed?

In the superior vena cava

In the aorta

In the pulmonary artery

In the left ventricle

Answer and Explanation

The Correct Answer is C

A. The superior vena cava is a common site for central venous catheters but not where the Swan-Ganz catheter tip rests.
B. The aorta is part of the arterial system, and the Swan-Ganz catheter is not placed here.
C. The Swan-Ganz catheter is advanced through the right heart chambers and positioned in the pulmonary artery to measure pulmonary artery pressures and cardiac output.
D. The left ventricle is not accessible via venous catheterization and is not the placement site for a Swan-Ganz catheter.

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Correct Answer is B

Explanation

A. If the pilot balloon is inflated, the cuff cannot be deflated.
B. The pilot balloon is connected to the cuff; when the pilot balloon is inflated, it indicates that the cuff inside the trachea or airway is also inflated, providing a seal.
C. Partial inflation cannot be determined solely by the pilot balloon’s inflation status.
D. The pilot balloon is directly related to the cuff and serves as an indicator of its inflation status.

A. Infection B. Fluid imbalance C. Paralytic ileus D. Airway obstruction

Correct Answer is D

Explanation

A. Infection is a significant concern in burn clients but is not the immediate life-threatening priority in the initial phase of care.
B. Fluid imbalance is a critical issue during burn management, especially in the resuscitation phase, but airway management takes precedence.
C. Paralytic ileus can occur due to stress and decreased perfusion but is a lower priority compared to airway compromise.
D. Airway obstruction is the top priority in clients with burns to the head, neck, and chest, due to the risk of inhalation injury, swelling, and respiratory compromise. Airway patency must be ensured immediately to prevent life-threatening complications.

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Where is a Swan-Ganz catheter typically placed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

If the pilot balloon of a trach or ETT tube is inflated, what can be inferred about the cuff?

Correct Answer is B

Explanation

A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?

Correct Answer is D

Explanation

An ICU patient with an endotracheal tube is at risk for ventilator-associated pneumonia. What is one way to prevent VAP in this patient?

The nurse assesses the patient's hand distal to the arterial line and notes cool, pale fingers with a capillary refill of 6 seconds. What could be the reason for these findings?

Which of the following statements is true about oral care in a patient with an endotracheal tube (ETT) in place?

A nurse is developing a plan of care for a client who is rehabilitating from major burns. Which of the following interventions should the nurse include to provide emotional support?

A nurse is caring for a client who has sustained a gasoline burn to 25% of the body. Which of the following is a priority safety concern when caring for this client?

A nurse is providing education to a community group about burn prevention. Which of the following is an example of a first-degree burn?

A client is planning to perform nasotracheal suction for a client who has COPD and an artificial airway. Which of the following actions should the nurse take?

Which factors determine the severity of a burn injury?