Exam 37: Care of Patients with Shock

A client with severe sepsis has a serum lactate level of 6.2 mmol/L.The client weighs 250 pounds.To infuse the amount of fluid this client requires in 24 hours,at what rate does the nurse set the IV pump? (Record your answer using a whole number.)____ mL/hr

A client in shock is apprehensive and slightly confused.What action by the nurse is best?

A client is being discharged home after a large myocardial infarction and subsequent coronary artery bypass grafting surgery.The client's sternal wound has not yet healed.What statement by the client most indicates a higher risk of developing sepsis after discharge?

A student is caring for a client who suffered massive blood loss after trauma.How does the student correlate the blood loss with the client's mean arterial pressure (MAP)?

A nurse is caring for a client after surgery.The client's respiratory rate has increased from 12 to 18 breaths/min and the pulse rate increased from 86 to 98 beats/min since they were last assessed 4 hours ago.What action by the nurse is best?

A nurse is caring for several clients at risk for shock.Which laboratory value requires the nurse to communicate with the health care provider?

The student nurse studying shock understands that the common manifestations of this condition are directly related to which problems? (Select all that apply.)

The nurse caring for hospitalized clients includes which actions on their care plans to reduce the possibility of the clients developing shock? (Select all that apply.)

A client is receiving norepinephrine (Levophed)for shock.What assessment finding best indicates a therapeutic effect from this drug?

A client is in shock and the nurse prepares to administer insulin for a blood glucose reading of 208 mg/dL.The spouse asks why the client needs insulin as the client is not a diabetic.What response by the nurse is best?

The nurse caring frequently for older adults in the hospital is aware of risk factors that place them at a higher risk for shock.For what factors would the nurse assess? (Select all that apply.)

A client has been brought to the emergency department after being shot multiple times.What action should the nurse perform first?

A student nurse is caring for a client who will be receiving sodium nitroprusside (Nipride)via IV infusion.What action by the student causes the registered nurse to intervene?

A nurse caring for a client notes the following assessments: white blood cell count 3800/mm³,blood glucose level 198 mg/dL,and temperature 96.2° F (35.6° C).What action by the nurse takes priority?

A client in shock has been started on dopamine.What assessment finding requires the nurse to communicate with the provider immediately?

A client is in the early stages of shock and is restless.What comfort measures does the nurse delegate to the nursing student? (Select all that apply.)

A nurse is caring for a client after surgery who is restless and apprehensive.The unlicensed assistive personnel (UAP)reports the vital signs and the nurse sees they are only slightly different from previous readings.What action does the nurse delegate next to the UAP?

A nurse works at a community center for older adults.What self-management measure can the nurse teach the clients to prevent shock?

The nurse gets the hand-off report on four clients.Which client should the nurse assess first?

A client arrives in the emergency department after being in a car crash with fatalities.The client has a nearly amputated leg that is bleeding profusely.What action by the nurse takes priority?