Exam 81: Management of Clients with Shock and Multisystem Disorders

When a client is admitted to the emergency department with a gunshot wound to the abdomen and is experiencing severe blood loss, the nurse anticipates the initial use of

The nurse suspects that the client who has entered the emergency department with severe uterine bleeding is in the early stages of shock. The nurse's first priority is to

Primary prevention techniques the nurse can teach a community group in order to prevent shock include (Select all that apply)

A client in hypovolemic shock has a low pulmonary capillary wedge pressure. This should indicate to the nurse that

Nursing care for a client in hypovolemic shock caused by trauma should include

The nurse caring for a client in shock who is being mechanically hyperventilated explains that the rationale for this intervention is to

A client has been in a motor vehicle accident and sustained significant injuries. The client is in shock and is semi-conscious, but is restless and moaning. The family is concerned the client is in pain and demands the nurse administer ordered morphine. The priority action by the nurse is to

A client is in shock and is receiving naloxone (Narcan). The client's sibling is an EMT and questions why the client is getting medication for "an overdose." The most appropriate response by the nurse is

A client in the ICU has shock and is getting blood glucose levels drawn and treatment with subcutaneous insulin. The client's spouse is upset seeing this and says "Now s/he's a diabetic, too?" The best response by the nurse is

The nurse has formulated the nursing diagnosis Interrupted Family Processes for the family of a critically ill client in the ICU with shock. The nurse would realize that outcomes for this diagnosis may not have been met when

The nurse would assess the individual in the most serious stage of shock as a

A client is critically ill and in shock. The large, extended family has gathered in the waiting room. Important interventions the nurse can use when working with this family include (Select all that apply)

Distributive shock is primarily due to

The nurse assessing acutely ill clients who are at risk for multiple organ dysfunction syndrome (MODS) would assess for the usual precipitating manifestation of

A client is at risk for MODS. In caring for this client, the nurse should place the highest priority on

During the progressive stage of shock, lactic acidosis occurs, resulting in

A client with SIRS is being treated with drotrecogin alfa (Xigris). The client exhibits a decrease in level of consciousness. Which action by the nurse is most important?

The nurse caring for a client newly diagnosed with MODS explains that the method of providing nutrition is likely to be

The nurse closely assesses clients who experience crushing injuries and are in shock because they are more prone than other clients to develop

The nurse is caring for an elderly client who is receiving vasodilators as part of the treatment of shock. The alteration in care the nurse should plan for this client is to