Exam 2 NUR 245-B Practice Questions and Correct Answers
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Course
NUR 245
Institution
NUR 245
Which of the following is indicative of the pt experiencing compensatory shock? Pt with septic shock who has warm and flushed skin
A patient is admitted with a gastrointestinal bleed the patient's blood pressure are trending downward causing concern for shock which of the following order is priori...
Exam 2 NUR 245-B Practice Questions
and Correct Answers
Which of the following is indicative of the pt experiencing compensatory shock? ✅Pt
with septic shock who has warm and flushed skin
A patient is admitted with a gastrointestinal bleed the patient's blood pressure are
trending downward causing concern for shock which of the following order is priority?
✅Typing cross match for packed red blood cells
The emergency nurse is awaiting the arrival of a transported patient with a possible
embolic stroke and a history of anaphylaxis after receiving Ivy contrast dye which order
does the nurse question ✅CT scan with contrast upon arrival
A patient experiencing septic shock is in the ICU vital signs are as followed blood
pressure 89/60 on vasopressin heart rate 110 respirations 12 on the ventilator and
temperature 100.2 what would be included in the interprofessional care? select all that
apply ✅- Protonix IV daily
- Sequential compression devices to lower extremities
- Fluid resuscitation
- Antibiotic therapy
Which of the following are nursing interventions that can decrease the risk of sepsis?
SATA ✅- Timely administer of antibiotics
- Maintain aseptic technique during procedures
The student is working in the acute care environment with shock patients the student
nurse has a patient with an O2 saturation of 72% on the patient's finger how should the
registered nurse respond? ✅Discuss shock pathophysiology with the student in move
the probe to the patient's ear
The nurse suspects that a patient diagnosed with pneumonia is becoming septic what is
the priority intervention for the registered nurse ✅Obtain blood and sputum cultures
The student nurse is caring for a patient recovering from an episode of obstructive
shock the nurse questions the need for tube feeds since the patient has a central line
which explanation by the RN is best ✅Early and thorough nutrition, using the patient's
gut, has been shown to decrease mortality ---(Enteral nutrition)
Which of the following are signs of the progressive stage of shock SATA ✅- Decrease
in cardiac output
- Anasarca
Ventilation/perfusion mismatch
, Following a myocardial infarction, a patient develops cardiogenic shock which
intervention does the RN anticipate to reduce the complications of shock ✅Diuretic
therapy to reduce preload
A patient has been intubated and sedated for 9 days following neurogenic shock which
complication is the nurse anticipating ✅Bradycardia
Which of the following is suggestive of a patient entering the compensatory stage of
shock SATA ✅- Drop in blood pressure
- Bronchodilation
- Increase in heart rate
A patient is admitted with hypovolemic shock which of the following is the priority in
preventing the progression of the stages of shock and reducing mortality ✅Determine
and correct underlining causative factors
When the collaborative care team is setting the goal for fluid replacement in a patient
with hypovolemic shock which data is most relevant for the RN to provide ✅Urine
output
A patient is admitted for hypovolemic shock as a result of extensive burns how would
the RN classify this a fluid loss ✅Relative
A patient with septic shock is receiving fluid boluses and LEVOPHED what focused
assessment findings are most important in evaluating the patient's response
✅Patient's blood pressure is 116/72
A patient with septic shock is in the ICU, intubated and sedated the patient's family is at
the bedside the family asks what they can do to help the patient heal and recover. which
is the best response by the RN ✅It's great that you were involved by asking questions
you should continue to talk to your loved one as he may be able to hear you and this
helps too reorient him
A patient is intubated and sedated in the ICU following an episode of hypovolemic
shock which of the following is an important nursing intervention to prevent
complications ✅Repositioning every one to two hours to prevent skin breakdown
Which of the following are treatment goals in septic shock SATA ✅- Recovery from
organ function
- Prevention of pneumonia
- Avoidance of kidney injury
- Restoration of normal or baseline blood pressure
- Removal of support blood pressure medications
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