Exam 69: Nursing Management Shock

The nurse is caring for a client with noncardiogenic shock who is cool, clammy and whose hemodynamic monitoring indicates a high systemic vascular resistance (SVR). Which of the following actions should the nurse anticipate implementing?

The nurse is caring for a client in the emergency department (ED) who is in shock of unknown etiology. Which of the following actions should the nurse implement first?

Which of the following findings is the best indicator that the fluid resuscitation for a client with hypovolemic shock has been successful?

Which of the following information obtained by the nurse when caring for a client who has cardiogenic shock indicates that the client may be developing multiple organ dysfunction syndrome (MODS)?

The charge nurse is evaluating the skills of a new RN caring for a client in shock. Which of the following actions by the new RN indicates a need for more education in the care of clients with shock?

The emergency department (ED) receives notification that a client who has just been in an automobile accident is being transported to your facility with anticipated arrival in 1 minute. Which of the following should the nurse obtain in preparation for the client's arrival?

Norepinephrine has been prescribed for a client who was admitted with dehydration and hypotension. Which of the following client information indicates that the nurse should consult with the health care provider before administration of the norepinephrine?

The nurse is caring for a client with neurogenic shock who is receiving a phenylephrine infusion through a left forearm IV. Which of the following assessment information obtained by the nurse indicates a need for immediate action?

The nurse is assessing a client who is receiving a nitroprusside infusion to treat cardiogenic shock. Which of the following findings indicates that the medication is effective?

The nurse is caring for a client with cardiogenic shock and pulmonary edema who has the following vital signs: BP 86/50, pulse 126, respirations 30. Which of the following actions should the nurse anticipate implementing?

The nurse is caring for a client who has septic shock. Which of the following assessment findings is most important for the nurse to report to the health care provider?

Which of the following assessments is most important for the nurse to make in order to evaluate whether treatment of a client with anaphylactic shock has been effective?

The following therapies are prescribed by the health care provider for a client who has respiratory distress and syncope after a bee sting. Which of the following actions should the nurse implement first?

After receiving 1 000 mL of normal saline, the central venous pressure for a client who has septic shock is 10 mm Hg, but the blood pressure is still 82/40 mm Hg. Which of the following prescribed medications should the nurse administer?

The nurse is caring for a client with septic shock who has a BP of 70/46 mm Hg, pulse 136, respirations 32, temperature 40°C (104°F), and blood glucose 13.7 mmol/L. Which of the following prescribed interventions will the nurse implement first?

Which of the following assessments should the nurse make to evaluate the effectiveness of omeprazole administration to a client with systemic inflammatory response syndrome (SIRS)?

The nurse is caring for a client with septic shock who has had a urine output of 20 mL/hour for the past 3 hours. The pulse rate is 120 and the central venous pressure and pulmonary artery wedge pressure are low. Which of the following orders by the healthcare provider should the nurse question?

The nurse is caring for a client who is receiving vasopressin to treat septic shock. Which of the following assessments is most important for the nurse to communicate to the health care provider?

The health care provider prescribes the following actions for a client who has possible septic shock with a BP of 70/42 mm Hg and oxygen saturation of 90%. In which order will the nurse implement the actions? A)Obtain blood and urine cultures. B)Give vancomycin 1 g IV. C)Infuse vasopressin 0.01 units/minute. D)Administer normal saline 1 000 mL over 30 minutes. E)Titrate oxygen administration to keep O₂ saturation >95%.

The nurse is caring for a client with neurogenic shock that has just arrived in the emergency department after a diving accident. He has a cervical collar in place. Which of the following actions should the nurse take? (Select all that apply.)