Exam 8: Care of the Patient Experiencing Acute Coronary Syndrome

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The nurse is concerned that a patient is at risk for developing obstructive shock because of which assessment findings? Select all that apply.

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A,B

A patient with neurogenic shock is demonstrating bradycardia. What action should the nurse take at this time?

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D

A patient experiencing vasodilation is diagnosed with distributive shock. The nurse should assess the patient for which etiologies? Select all that apply.

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A,B,C

A patient receives norepinephrine 30 mcg/min for treatment of refractory shock. Which assessment finding suggests the patient is experiencing peripheral vasoconstriction from the medication? Select all that apply.

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Which finding indicates that a patient is experiencing increased peripheral resistance and vasoconstriction?

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Why should the nurse caring for a patient in hypovolemic shock avoid a hypotonic solution for fluid resuscitation?

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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 should the patient receive in an hour? Record your answer rounding to the nearest whole number.

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The nurse is caring for a patient recovering from a spinal cord injury sustained during a motor vehicle crash. What assessment finding indicates that the patient is developing neurogenic shock? Select all that apply.

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The nurse explains 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.

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A patient is demonstrating pulmonary edema, hypotension, and delayed capillary refill. The nurse suspects the patient is experiencing which type of shock?

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A patient being treated for cardiogenic shock is being hemodynamically monitored. Which finding is consistent with the patient's diagnosis? Select all that apply.

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A patient receiving treatment for a spinal cord injury is demonstrating signs of neurogenic shock. What should the nurse expect to assess in this patient? Select all that apply.

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A patient demonstrates 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?

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During an assessment, the nurse is concerned that a patient is developing cardiogenic shock. What did the nurse assess in this patient? Select all that apply.

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A patient received 8 units of packed red blood cells as treatment for hypovolemic shock. Which laboratory value should the nurse monitor for this patient?

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A patient is receiving phenylephrine 50 mcg/min as treatment for shock. Which assessment finding indicates this medication is effective?

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The nurse reviews medications prescribed for a patient being treated for cardiogenic shock. Which medications will the nurse most likely provide to this patient? Select all that apply.

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The nurse assesses a mediastinal shift in a patient being treated for injuries from a motor vehicle crash. For which type of shock should the nurse plan care for this patient?

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Which complication is being avoided when the nurse warms intravenous fluids to be used in a rapid infuser?

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The nurse assesses muffled heart sounds in a patient recovering from thoracic injuries caused by a motor vehicle crash. What should the nurse anticipate being prescribed for this patient?

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