35. In which situations would it be appropriate for a critical care nurse to use intra-arterial monitoring access to meet the client's needs? Select all that apply.
35. In which situations would it be appropriate for a critical care nurse to use intra-arterial monitoring access to meet the client's needs? Select all that apply.
. To do daily blood draws for studies in a client with pancreatitis in acute pain.
. To do frequent arterial blood gases for a client in acute respiratory failure.
. When additional access is needed to administer blood products for hypovolemia.
. To administer vasoactive medication to treat cardiogenic shock.
. To do continuous monitoring of blood pressure in a client with malignant hypertension.
Test-Taking Tip
Think of cardiovascular and respiratory conditions.
Content Area: Adult Health, Cardiovascular; Integrated Process: Nursing Process, Analysis; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Therapeutic Procedures
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Answer 1 is incorrect because the drawing of venous blood samples (daily) would not be an appropriate use of an arterial line. A venous access should be established for the client. Answer 2 is correct because arterial blood gas sticks are painful. Using the arterial port would be appropriate for clients requiring frequent collection of samples. Answer 3 is incorrect because arterial lines are not routinely used as an infusion port. A venous access should be established, and only if a venous port cannot be established would the arterial port be used. Arterial ports may be used in neonates/pediatrics or for the delivery of chemotherapy with specific tumors. Answer 4 is correct because a client who is receiving a vasoactive drug would need continuous monitoring of blood pressure, which is an appropriate use of an intra-arterial line. Answer 5 is correct because continuous monitoring of blood pressure is an appropriate use of an intra-arterial line.