Exam 9: Nursing Care of Patients in Shock

A patient is admitted for care because of heat stroke.Why should the nurse include interventions to prevent the onset of shock?

The spouse of a patient in neurogenic shock asks what is happening to the patient.How should the nurse response to the spouse?

A patient is receiving a dopamine infusion for shock.What should the nurse expect to assess in the patient because of this medication?

On arrival in the emergency department,a patient who was in a motor vehicle accident is apprehensive,confused,and hypotensive.The patient has tachycardia,oliguria,and cool clammy skin.What should the nurse do first?

A patient with gastrointestinal bleeding has hemoglobin of 8.5 g/dL.While receiving care the patient becomes anxious and irritable and bright red drainage appears through the nasogastric tube.The patient's vital sign measurements are pulse 130 beats/minute,blood pressure 105/55 mm Hg,and respirations 28/minute.What should the nurse recognize as causing the changes in the patient's vital signs?

Patients are being treated in the intensive care unit for anaphylactic,septic,and neurogenic shock.For which type of shock should the nurse plan to provide care?

After collecting data,the nurse suspects that a patient is experiencing cardiogenic shock.Which finding supports this nurse's suspicion?

A patient with gastrointestinal bleeding is awake,alert,and oriented and has vital sign measurements of: blood pressure 130/90 mm Hg,pulse 118 beats/minute,respirations 18/minute,and temperature 98.6°F (37°C).Which finding should the nurse consider as a possible sign of early shock?

After an episode of shock,a patient's laboratory results reveal decreased clotting factors.Based on these laboratory results,the nurse should monitor for which complication of shock?

The nurse is caring for a patient in mild shock.Which medication should the nurse question before providing if ordered for a patient experiencing shock?

A patient in shock is diagnosed with metabolic acidosis.What should the nurse realize as being the mechanism behind the development of this acid-base imbalance?

The nurse determines that a patient with severely bleeding wounds does not have an adequate airway.What should the nurse do to help this patient? (Select all that apply.)

The nurse is assisting in the planning of care for a patient in shock.Which nursing diagnoses should the nurse recommend be included in the patient's plan of care?

The nurse is caring for an 85-year-old patient with septic shock.What should the nurse keep in mind when repositioning this patient?

The nurse is receiving report on patients assigned for the next shift.Which patient should the nurse observe first?

A patient who is taking atenolol (Tenormin)is experiencing shock.Which symptom of shock should the nurse expected to be absent in this patient?

Data collection findings for a patient include shortness of breath with crackles in the lung bases,jugular vein distention,daily weight increased by 3 pounds from yesterday,report of chest pain,blood pressure 86/40 mm Hg,pulse 132 beats/minute,and respirations 30/minute.Which order should the nurse question?

A patient hemorrhaging from an incision has a blood pressure of 70/0 mm Hg.What type of fluid replacement should the nurse anticipate will be ordered initially?

The nurse is contributing to a staff education program about complications associated with urinary catheters.Which type of shock should the nurse recommend be included in the presentation?

The nurse obtains vital signs on a patient with gastrointestinal bleeding who has a large,dark red,foul-smelling stool.Which vital sign changes should the nurse report as indicative of early shock?