A Patient with Shock of Unknown Etiology Whose Hemodynamic Monitoring

question 9

Multiple Choice

A patient with shock of unknown etiology whose hemodynamic monitoring indicates BP 92/54, pulse 64, and an elevated pulmonary artery wedge pressure has the following collaborative interventions prescribed. Which intervention will the nurse question?

• A) Infuse normal saline at 250 mL/hr.
• B) Keep head of bed elevated to 30 degrees.
• C) Give nitroprusside (Nipride) unless systolic BP <90 mm Hg.
• D) Administer dobutamine (Dobutrex) to keep systolic BP >90 mm Hg.

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