What will the nurse identify as symptoms of hypovolemic shock in a patient? Show 2. Restlessness Correct Answer: 2,3,4 Which laboratory finding should cause the nurse to suspect that a patient is developing hypovolemic shock? 2. Metabolic acidosis validated by arterial blood gases Correct Answer: 2 The nurse recognizes that which patient would be most likely to develop hypovolemic shock? A patient with: 3. Ascites Correct
Answer: 3 Which finding indicates that a patient is experiencing increased peripheral resistance and vasoconstriction? 2. Pale, cool extremities with decreased pulses Correct Answer: 2 Which solution would be the most appropriate initial volume replacement for a patient with severe GI bleeding? 2. A liter of Ringer's lactate (RL) over 15 minutes Correct Answer: 2 Which life-threatening complications would the nurse anticipate developing in the patient being treated for hypovolemic shock? 2. Renal insufficiency Correct Answer: 2,3 The nurse, caring for a patient in hypovolemic shock, will not utilize a hypotonic solution for fluid resuscitation because hypotonic solutions: 3. Do not stay in the intravascular space long enough to expand the circulating blood volume Correct Answer: 3 The nurse should warm intravenous fluids when a rapid infuser is being utilized to prevent which complication? 2. Hypothermia Correct Answer: 2 Which finding indicates that rehydration is complete and hypovolemic shock has been successfully treated in a patient? 1. CVP = 8 mm Hg Correct Answer: 1 A patient is demonstrating pulmonary edema, hypotension, and delayed capillary refill.
The nurse suspects the patient is experiencing which type of shock? 2. Cardiogenic Correct Answer: 2 A patient, experiencing vasodilation, is diagnosed with distributive shock. The nurse will assess the patient for which etiologies? 1. Sepsis Correct Answer: 1,2,3 The nurse is concerned that a patient is at risk for developing obstructive shock because of which assessment
findings? 1. Age 80 Correct Answer: 1,2 A patient is experiencing an anaphylactic reaction to a medication. The nurse is
concerned that the patient will develop distributive shock because: 1. The release of histamine causes vasodilation with plasma leakage. Correct Answer: 1 A patient is diagnosed with cardiac tamponade. When planning care, the nurse will include interventions to address which type of shock? 1. Obstructive Correct Answer: 1 The nurse, caring for a patient recovering from an acute myocardial infarction, is planning interventions to reduce the risk of which type of shock? 1. Cardiogenic Correct Answer: 1 A patient with cardiomyopathy is demonstrating signs of cardiogenic shock. The nurse realizes that this type of shock is due to: 1. Reduced cardiac output Correct Answer: 1 The nurse is explaining the mechanism of a pulmonary embolism to the family of a patient diagnosed with the disorder. Place in order the steps the nurse will use to instruct the family about this disease process. Rationale 1: The obstruction caused by the pulmonary embolism increases the afterload of the right ventricle, causing right ventricular failure. A patient is being treated for pericarditis. The nurse will plan interventions to prevent the onset of which type of shock? 1. Obstructive A patient is brought to the emergency department with manifestations of anaphylactic shock. What will the nurse assess as possible causes for this disorder? 1. Recent bee sting Correct Answer: 1,2,3,4 During an assessment the nurse is concerned that a patient is developing cardiogenic shock. What did the nurse assess in this patient? 1. Systolic blood pressure 82 mm Hg Correct Answer: 1,2,3 A patient is brought to the emergency department with hypotension, tachycardia, reduced capillary refill, and oliguria. During the assessment, the nurse determines the patient is experiencing cardiogenic shock because of which additional finding? 1. Jugular vein distention Correct Answer: 1 A patient being treated for cardiogenic shock is being hemodynamically monitored. Which findings are
consistent with the patient's diagnosis? 1. Elevated pulmonary arterial wedge pressure Correct Answer: 1,2,3 The nurse is caring for a patient recovering from a spinal cord injury sustained during a motor
vehicle crash. What assessment findings indicate that the patient is developing neurogenic shock? 1. Hypotension Correct Answer: 1,2,3 A patient is demonstrating signs of obstructive shock but the cause has yet to be determined. Which finding indicates the patient is experiencing a pulmonary embolism as the
cause for obstructive shock? 1. Chest pain Correct Answer: 1 The nurse is preparing medications for a patient being treated for cardiogenic shock. Which medications will the nurse most likely provide to this patient? 1. Dopamine Correct Answer: 1,2,3,5 A patient with neurogenic shock is demonstrating bradycardia. What action will the nurse take at this time? 4. Administer atropine as prescribed. Correct Answer: 4 A patient is experiencing acute respiratory distress after eating an item of a known food allergy. What interventions will the nurse implement when providing emergency care to this patient? 1. Administer epinephrine 1:1000 intramuscularly. Correct Answer: 1,2,3 A patient is receiving phenylephrine 50 mcg/min as treatment for shock. Which assessment finding
indicates this medication is effective? 1. Blood pressure 110/68 mm Hg Correct Answer: 1 A patient weighing 220 lbs is prescribed 10 mcg/kg/min of dopamine to improve cardiac output from cardiogenic shock. How many milligrams of dopamine will the patient receive in an hour? Correct Answer: 60 Which assessment finding indicates that an infusion of intravenous
epinephrine 4 mcg/min is effective in the treatment of a patient with anaphylactic shock? 1. Reduced wheezing Correct Answer: 1 A patient is receiving norepinephrine 30 mcg/min for treatment of refractory shock. Which assessment findings suggest the patient is experiencing peripheral vasoconstriction from the medication? 1. Decreased peripheral pulses Correct Answer: 1,2,3 A patient is prescribed vasopressin 0.03 units/minute as treatment for septic shock. What action will the nurse take when providing this medication? 1. Provide the vasopressin infusion in addition to a norepinephrine infusion. Correct Answer: 1 A patient arrives in the emergency department with a flail chest after a motor vehicle accident (MVA) in which the patient's chest hit the steering wheel. The nurse
realizes this injury is due to: 2. Blunt trauma from external forces caused by deceleration Correct Answer: 2 Which patient sustained an open traumatic injury? A patient with: 4. Burns over 30% of the body from a house fire Correct Answer: 4 When performing a quick assessment to identify life-threatening problems in a trauma
patient, the nurse would include which assessments under the D-Disability section? 1. Ability to respond to painful stimuli Correct Answer:
1,3,4 How can you tell if someone is hypovolemic?Symptoms may include:. Anxiety or agitation.. Cool, clammy skin.. Confusion.. Decreased or no urine output.. Generalized weakness.. Pale skin color (pallor). Rapid breathing.. Sweating, moist skin.. What is a characteristic clinical finding associated with hypovolemic shock pals?Common symptoms include tachypnea, tachycardia, low to normal blood pressure, decreased urine output, and decreased level of consciousness.
Which conditions can cause hypovolemic shock select all that apply?What causes hypovolemic shock?. excessive or prolonged diarrhea.. severe burns.. protracted, or excessive vomiting.. excessive sweating.. bleeding from serious cuts or wounds.. bleeding from blunt traumatic injuries due to accidents.. internal bleeding from abdominal organs or ruptured ectopic pregnancy.. What can hypovolemic shock cause?Hypovolemic shock is a serious medical problem that requires immediate treatment. A large loss of blood or fluids prevents your organs from getting the oxygen and nutrients they need to function. This can lead to organ failure and can be fatal.
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