AACN CMC EXAM QUESTIONS WITH 100% VERIFIED ANSWERS

AACN CMC EXAM QUESTIONS WITH 100% VERIFIED ANSWERS
Question : While caring for a patient with an IABP at 3:1, the
nurse notes:
A. decreasing urine output as well as increasing BUN and CR
levels; the nurse should increase timing to 2:1
B. absent pulses in the proximal extremity; the nurse should
apply pressure at the insertion site.
C. blood in the IABP tubing; the nurse should disconnect the
balloon catheter from the IABP.
D. blood oozing from the insertion site; the nurse should
anticipate the need for an emergency fasciotomy.
CORRECT ANSWER: A. incorrect. decreasing urine output
with increasing BUN and CR levels with an IABP in place
indicates obstruction of the renal arteries. The nurse should
plan for removal. B. incorrect. absent pulses distal to the
insertion site indicates complete occlusion of the femoral
artery. application of pressure to the insertion site will worsen
the obstruction. C. correct. blood in the IABP tubing indicates
a rupture of the balloon. Continuing to allow the IABP to
inflate and deflate will increase the size of the rupture,
causing more bleeding. the nurse should plan for removal or 

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