Nr 341 Complex Adult Health Final Exam

NR 341 Complex Adult HealthFinal ExamIndication for arterial line placement? Correct Ans= Hemodynamic monitoringMultiple blood samplesDiagnostic or interventional radiology proceduresContinuous cardiac output monitoringWhat test must be preformed prior to an arterial line placement? Correct Ans= Allen's testHow often should a fast flush test be preformed? Correct Ans= Every 8 hoursAfter blood drawsIf the hemodynamic status changesWhen changing tubingWhat are the most common sites for arterial line insertion? Correct Ans= RadialFemoralAxillaryDorsalis PedisBrachial ArteriesPositioning for radial arterial line placement: Correct Ans= 30-60 degrees of dorsiflexion with the aid of a roll of gauze and an armband.Avoid hyperabduction of the thumb.How often should the atrial line catheter be changed out? Correct Ans= Every 7 daysCauses of inaccuracy in arterial line readings : Correct Ans= Air bubbles in thecatheter systemFailure to zero the transducer air-fluid interfaceBlood in the catheter systemBlood clot at the catheter tipKinking of the tubing systemCatheter tip lodging against the arterial wallSoft, compliant tubingLong tubingToo many stopckcks (>3)What is the pathology of afterload? Correct Ans= The pressure in which the heart must pump against in order to eject blood during systole.Medications that reduce afterload/preload include? Correct Ans= VasodilatorsWhat is the pathology of preload? Correct Ans= The filling pressure of the heart