Disclaimer Show Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always … More Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding. You do not currently have access to this chapter. A patient is treated in the emergency department for shock following an automobile accident. The nurse knows that shock is a clinical syndrome in which cellular dysfunction and organ failure occur primarily as a result of which of the following conditions? ANS: D Which hemodynamic results would the nurse anticipate
in a patient who is in cardiogenic shock? ANS: B A patient with hypovolemic shock has a urinary output of 15 mL/hour. What does the nurse understand is the compensatory physiological mechanism that leads to altered urinary output? ANS: A While caring for a seriously ill patient, the nurse determines that the patient may be in the compensatory stage of shock on observing which of the following findings? ANS: B A patient has been admitted with a spinal cord injury. The nurse anticipates neurogenic shock with a spinal cord injury at which level of the spine? ANS: A The nurse determines that the patient in shock has progressed beyond the compensated stage when laboratory tests reveal which of the following results? ANS: D A patient with massive trauma and possible spinal cord injury is admitted to the emergency department. The nurse suspects that the patient may be experiencing neurogenic shock in addition to hypovolemic shock based on which of the following findings? ANS: A When caring for a patient in shock, the nurse notifies the physician of the patient’s deteriorating status when the patient’s arterial blood gas results include which of the
following findings? ANS: B During the initial management of any patient in shock, the nurse knows that which of the following is an appropriate intervention? ANS: C A patient in septic shock has not responded to fluid resuscitation, as evidenced by a decreasing BP and CO. The nurse anticipates the administration of which of the following medications? ANS: B Which of the
following nursing interventions prevents the development of shock? ANS: C A patient stung by a bee develops severe respiratory distress and is in anaphylactic shock. Which medication will the nurse prepare to administer immediately? ANS: A Which type of shock does the nurse suspect with a patient who is short of breath and has wheezes, rhinitis, and stridor? ANS: C A patient with multiple traumas is brought to the emergency department. The nurse initiates two peripheral intravenous (IV) sites and begins fluid resuscitation with which of the following fluids? ANS: B The nurse evaluates that fluid resuscitation for a patient in shock is effective on observing which of the following findings? ANS: A The
triage nurse receives a call from a community member who is driving an unconscious friend with multiple injuries after a motorcycle accident to the hospital. The caller states that they will be arriving in 1 minute. What will the nurse obtain in preparation for the patient’s arrival? ANS: C Norepinephrine has been ordered for the patient in hypovolemic shock. Before administering the medication, the nurse ensures that which of the following
has occurred? ANS: C When caring for a patient in cardiogenic shock, the nurse evaluates the status of the patient, recognizing that which of the following is the goal of care? ANS: D While evaluating the effects of treatment in a patient in shock, the nurse finds that the patient has orthostatic hypotension. This finding indicates a need for which of the following treatments? ANS: A What is an appropriate nursing intervention for a patient in shock with the nursing diagnosis of fear related to perceived threat of death? ANS: D Which
of the following is a patient outcome that is appropriate for the patient in shock who has a nursing diagnosis of decreased cardiac output related to relative hypovolemia? ANS: A When caring for the patient with cardiogenic shock and possible multiple-organ dysfunction syndrome (MODS), what information obtained by the nurse will help confirm the diagnosis of MODS? ANS: C In the diagnostic criteria for sepsis, a
patient is considered to have a fever if the temperature is higher than which of the following? ANS: C
When caring for a patient who has just been admitted with septic shock, which of these assessment data will be of greatest concern to the nurse? ANS: C To monitor a patient with severe acute pancreatitis for the early organ damage associated with MODS, what should the nurse assess? ANS: B Which hemodynamic results would the nurse expect to assess in a patient who is in neurogenic shock? ANS: D Which of the following is a clinical characteristic of neurogenic shock?Bradyarrhythmia, hypotension, flushed warm skin are the classic signs associated with neurogenic shock.
What factors make a patient prone to neurogenic shock?car accidents that cause central nervous system damage or spinal cord injury. sport injuries causing trauma to the spine. gunshot wounds to the spine. medications that affect the autonomic nervous system, which regulates breathing and other automatic bodily functions.
What are the signs and symptoms of shock?Signs and symptoms of shock vary depending on circumstances and may include:. Cool, clammy skin.. Pale or ashen skin.. Bluish tinge to lips or fingernails (or gray in the case of dark complexions). Rapid pulse.. Rapid breathing.. Nausea or vomiting.. Enlarged pupils.. Weakness or fatigue.. Which medical diagnosis would the nurse suspect as the cause of cardiogenic shock?End-stage cardiomyopathy. The inability of the heart to pump enough blood for the systems causes cardiogenic shock.
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