Shock - EAQ Questions And Answers Rated A+ New Update Assured Satisfaction

The nurse reviews the medical record of a patient with pneumonia and notes that the patient has hypotension, hypothermia, leukocytosis, and hypoxemia. What should the nurse infer from these findings? 1 The patient has septic shock. 2 The patient has neurogenic shock. 3 The patient has cardiogenic shock. 4 The patient has hypovolemic shock. - 1 Septic shock The nurse is administering oxygen therapy to a patient in septic shock. What are the possible factors that directly affect oxygen delivery in the patient and should be monitored? Select all that apply. 1 Urine output 2 White blood cells 3 Cardiac output 4 Available hemoglobin 5 Arterial oxygen saturation - 3, 4, 5 Which type of shock can be treated by minimizing spinal cord trauma with stabilization? 1 Septic shock 2 Neurogenic shock 3 Anaphylactic shock 4 Hypovolemic shock - 2 Neurogenic shock A patient experiences a myocardial infarction (MI). The nurse closely monitors the patient for complications and recognizes that hypotension is a warning sign of: 1 A secondary MI 2 Pulmonary edema 3 Cardiogenic shock 4 Fatal dysrhythmias - 3 Cardiogenic shockWhich drug causes arterial and venous dilation? 1 Dopamine (Intropin) 2 Vasopressin (Pitressin) 3 Phenylephrine (Neo-Synephrine) 4 Sodium nitroprusside (Nipride) - 4 Nipride The nurse assesses a patient with multisystem organ dysfunction syndrome. What assessment finding is most indicative of deterioration? 1 Arterial Po2 of 95% 2 Pulse rate of 108 beats/min 3 Total urine output of 120 mL over the past 8 hours 4 Auscultation of fine bilateral crackles and a moist cough - 3 Total urine outpute of 120 ml over past 8 hrs A patient's localized infection has progressed to the point where septic shock now is suspected. What medication is an appropriate treatment modality for this patient? 1 Insulin infusion 2 Intravenous (IV) administration of epinephrine 3 Aggressive IV crystalloid fluid resuscitation 4 Administration of nitrates and β-adrenergic blockers - 3 Aggressive IV crystalloid fluid resuscitation A patient presents to the emergency department (ED) in a state of shock. On assessment, the nurse finds that the patient is cyanotic and has crackles on auscultation of the lungs. Which type of shock will the nurse classify this as? 1Neurogenic shock 2Cardiogenic shock 3Hypovolemic shock 4Anaphylactic shock - 2 Cardiogenic shockThe nurse is caring for a patient who is experiencing cardiogenic shock as a result of myocardial infarction. Which nursing assessment finding is most concerning? 1 PaO2 60 mm Hg 2 Blood pressure 100/56 mm Hg 3 Urine output 260 mL in eight hours 4 Heart rate 96 beats per minute - 1 PaO2 60 mmHg A patient is diagnosed with multiple organ dysfunction syndrome. While aggressive treatment is continued, the nurse suspects infection. What is the most appropriate action that the nurse should perform? 1 Discontinue the aggressive treatment. 2 Reduce oxygen delivery to the patient. 3 Wait for laboratory reports to confirm. 4 Obtain a prescription for broad-spectrum antibiotic therapy. - 4 Obtain a prescription for broadspectrum antibiotic therapy A nurse caring for a patient with multiple organ dysfunction syndrome understands that the patient may be at increased risk of bleeding. What nursing interventions should the nurse perform to manage this patient? Select all that apply. 1 Observe bleeding sites. 2 Decrease fluid intake. 3 Provide enteral feedings. 4 Administer platelets and clotting factors. 5 Minimize traumatic interventions. - 1, 4, 5