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NURS 401 Shock – Questions And Detailed Solutions A+
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NURS 401 Shock – Questions And Detailed Solutions A+
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NURS 401 Shock – Questions And Detailed Solutions A+A client is unstable and receiving dopamine to increase blood pressure. Which
of the following are interventions that the nurse administering dopamine
would employ? Select all that apply.
Administer through an intact peripheral line.
Assess vital signs every hour.
Use an intravenous controller or pump.
Verify dosage and pump settings with another RN.
Measure urine output every hour. Right Ans - Use an intravenous
controller or pump.
Verify dosage and pump settings with another RN.
Measure urine output every hour.
The nurse is using continuous central venous oximetry (ScvO2) to monitor the
blood oxygen saturation of a patient in shock. What value would the nurse
document as normal for the patient?
40%
50%
60%
70% Right Ans - 70%
A nurse practitioner visits a patient in a cardiac care unit. She assesses the
patient for shock, knowing that the primary cause of cardiogenic shock is:
Valvular damage.
Cardiomyopathies.
A myocardial infarction.
Arrhythmias. Right Ans - Myocardial infarction
Which type of shock occurs from an antigen-antibody response?
Septic
Anaphylactic
Neurogenic
Cardiogenic Right Ans - Anaphylactic
A client presents to the community health office experiencing rapidly
increasing symptoms of anaphylactic shock. Which nursing action would be
completed first?
Obtain the name and information of the allergic substance.
,Administer an epinephrine injection as ordered by the health care provider.
Obtain a health history.
Call 911. Right Ans - Administer an epinephrine injection as ordered by the
health care provider.
A nurse is assisting with the orientation of a newly hired graduate. Which of
the following behaviors of the graduate nurse would the other nurse identify
as not adhering to strict infection control practices?
Rubbing the hands together with antiseptic solution until dry when exiting the
client's room
Wearing clean gloves when inserting a needle in preparation of starting
intravenous fluids
Hanging tape on the bedside table when changing a wet-to-dry sterile
dressing
Swabbing the port of a central line for 15 seconds with an alcohol pad prior to
medication administration Right Ans - Hanging tape on the bedside table
when changing a wet-to-dry sterile dressing
The central venous pressure (CVP) reading in hypovolemic shock is typically
which of the following?
Low
High
Normal
Unable to measure Right Ans - Low
The nurse is caring for a motor vehicle accident client who is unresponsive on
arrival to the emergency department. The client has numerous fractures,
internal abdominal injuries, and large lacerations on the head and torso. The
family arrives and seeks update on the client's condition. A family member
asks, "What causes the body to go into shock?" Given the client's condition,
which statement is most correct?
"The client is in shock because the blood volume has decreased in the system."
"The client is in shock because the heart is unable to circulate the body fluids."
"The client is in shock because your loved one is not responding and brain
dead."
"The client is in shock because all peripheral blood vessels have massively
dilated." Right Ans - "The client is in shock because the blood volume has
decreased in the system."
, Which positioning strategy should be used for a client diagnosed with
hypovolemic shock?
Supine
Modified Trendelenburg
Prone
Semi-Fowler Right Ans - Modified Trendelenburg
During preshock, the compensatory stage of shock, the body, through
sympathetic nervous system stimulation, will release catecholamines to shunt
blood from one organ to another. Which of the following organs will always be
protected?
Liver
Kidneys
Lungs
Brain Right Ans - Brain
A nurse is caring for a client in a critical care unit. With what type of shock
does a client experience a pooling of blood flow to the peripheral blood
vessels?
distributive
cardiogenic
hypovolemic
organ failure Right Ans - distributive
The nurse knows when the cardiovascular system becomes ineffective in
maintaining an adequate mean arterial pressure (MAP). Select the reading
below that indicates tissue hypoperfusion.
60 mm Hg
70 mm Hg
80 mm Hg
90 mm Hg Right Ans - 60 mm Hg
You are caring for a client who is in neurogenic shock. You know that this is a
subcategory of what kind of shock?
Obstructive
Hypovolemic
Carcinogenic
Circulatory (distributive) Right Ans - Circulatory (distributive)
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