This question was created from NURS6560-Midterm18.docx

Question 66
While on call, the AGACNP is asked to evaluate a deteriorating patient. The patient was
admitted for exacerbation of pneumonia and congestive heart failure (CHF). The systolic
blood pressure is < 90 mm Hg, and the urine output is < 10 mL/hr. A 12-lead ECG
reveals no acute processes but reveals previously noted changes that are consistent
with bilateral atrial and ventricular enlargement and a marked left axis deviation. You
insert a pulmonary artery (PA) line and anticipate which of the following pressures? (CI,
cardiac index; PAOP, pulmonary artery occlusion pressure ; RAP, right atrial pressure)
A.CI 1.3 L/min, PAOP 27 mm Hg, RAP 18 mm Hg
B. CI 1.9 L/min, PAOP 12 mm Hg, RAP
6 mm Hg C. CI 2.4 L/min, PAOP 18 mm Hg, RAP 8 mm Hg
D.CI 1.4 L/min, PAOP 7 mm
Hg, RAP 4 mm Hg