Exam 63: Nursing Management: Shock,systemic Inflammatory Response Syndrome and Multiple Organ Dysfunction Syndrome

Which data collected by the nurse caring for a patient who has cardiogenic shock indicate that the patient may be developing multiple organ dysfunction syndrome (MODS)?

A 198-lb patient is to receive a dobutamine infusion at 5 mcg/kg/minute.The label on the infusion bag states: dobutamine 250 mg in 250 mL normal saline.When setting the infusion pump,the nurse will set the infusion rate at how many mL per hour?

Which intervention will the nurse include in the plan of care for a patient who has cardiogenic shock?

The health care provider orders the following interventions for a 67-kg patient who has septic shock with a BP of 70/42 mm Hg and oxygen saturation of 90% on room air.In which order will the nurse implement the actions? (Put a comma and a space between each answer choice [A,B,C,D,E].)

A patient with cardiogenic shock has the following vital signs: BP 102/50,pulse 128,respirations 28.The pulmonary artery wedge pressure (PAWP)is increased and cardiac output is low.The nurse will anticipate an order for which medication?

Which finding is the best indicator that the fluid resuscitation for a patient with hypovolemic shock has been effective?

A nurse is caring for a patient with shock of unknown etiology whose hemodynamic monitoring indicates BP 92/54,pulse 64,and an elevated pulmonary artery wedge pressure.Which collaborative intervention ordered by the health care provider should the nurse question?

After receiving 2 L of normal saline,the central venous pressure for a patient who has septic shock is 10 mm Hg,but the blood pressure is still 82/40 mm Hg.The nurse will anticipate an order for

A patient with septic shock has a BP of 70/46 mm Hg,pulse 136,respirations 32,temperature 104° F,and blood glucose 246 mg/dL.Which intervention ordered by the health care provider should the nurse implement first?

The nurse is caring for a patient who has septic shock.Which assessment finding is most important for the nurse to report to the health care provider?

Norepinephrine (Levophed)has been prescribed for a patient who was admitted with dehydration and hypotension.Which patient data indicate that the nurse should consult with the health care provider before starting the norepinephrine?

The emergency department (ED)nurse receives report that a patient involved in a motor vehicle crash is being transported to the facility with an estimated arrival in 1 minute.In preparation for the patient's arrival,the nurse will obtain

A patient who has been involved in a motor vehicle crash arrives in the emergency department (ED)with cool,clammy skin; tachycardia; and hypotension.Which intervention ordered by the health care provider should the nurse implement first?

The patient with neurogenic shock is receiving a phenylephrine (Neo-Synephrine)infusion through a right forearm IV.Which assessment finding obtained by the nurse indicates a need for immediate action?

Which preventive actions by the nurse will help limit the development of systemic inflammatory response syndrome (SIRS)in patients admitted to the hospital (select all that apply)?

After reviewing the information shown in the accompanying figure for a patient with pneumonia and sepsis,which information is most important to report to the health care provider?

A 78-kg patient with septic shock has a urine output of 30 mL/hr for the past 3 hours.The pulse rate is 120/minute and the central venous pressure and pulmonary artery wedge pressure are low.Which order by the health care provider will the nurse question?

When the nurse educator is evaluating the skills of a new registered nurse (RN)caring for patients experiencing shock,which action by the new RN indicates a need for more education?

A patient is admitted to the emergency department (ED)for shock of unknown etiology.The first action by the nurse should be to

After change-of-shift report in the progressive care unit,who should the nurse care for first?