A client is being treated for distributive shock with intravenous norepinephrine. The
nurse expects the drug to have which effect on the client's mean
... [Show More] arterial pressure
(MAP)?
Show answer choices
1. Decreased MAP by decreasing intravascular volume
2. Decreased MAP from widespread capillary leak
3. Increased MAP with no change in intravascular volume
4. Increased MAP by increasing intravascular volume
2. Question 2 2/2
A nurse is teaching a client who has septic shock about the development of
disseminated intravascular coagulation (DIC). Which statement indicates the nurse's
correct understanding of DIC?
Show answer choices
1. "DIC is a genetic disorder involving a vitamin K deficiency."
2. "DIC is caused by abnormal coagulation involving fibrinogen."
3. "DIC is controllable with lifelong heparin usage."
4. "DIC is a genetic disorder characterized by an elevated factor VIII
count."
3. Question 3 2/2
Which of the following indicates that the fluid resuscitation for a client in hypovolemic
shock has been successful?
Show answer choices
1. Capillary refill of 4 seconds in the distal extremities
2. Normal tissue perfusion
3. Urine output is 20 ml over the past hour
4. Decreased pulmonary artery wedge pressure (PAWP)
4. Question 4 2/2
A client in respiratory failure is diagnosed with a flail chest. After the client is
intubated, which ventilator settings does the nurse expect to be included in the plan
of care?
Show answer choices.
1. Mechanical ventilation with positive end-expiratory pressure
(PEEP)
2. Bi-level positive airway pressure (Bi-PAP) with low fraction of
inspired oxygen (FiO2)
3. Synchronized intermittent mechanical ventilator (SIMV) with low
breathing frequency (f)
4. Positive pressure ventilation with elevated peak inspiratory
pressure (PIP)
5. Question 5 2/2
A nurse is managing several intravenous medications to maintain the blood pressure
of a client in hypovolemic shock. Which medication places the client at risk for a
hypertensive reaction, requiring the nurse to assess the blood pressure at least every
15 minutes?
Show answer choices
1. Adenosine
2. Amiodarone
3. Sodium nitroprusside
4. Norepinephrine
6. Question 6 2/2
A client has been diagnosed with a pulmonary embolism. Which diagnostics and
treatments does the nurse anticipate will be ordered? (Select all that apply.)
Show answer choices
1. Chest tube insertion
2. Anticoagulants
3. Computed tomography angiogram (CTA)
4. D-Dimer
5. Nitroglycerin
7. Question 7 2/2
A client is treated in the emergency department (ED) for shock of unknown
etiology. The first action by the nurse is which of the following?
Show answer choices
1. Attach a cardiac monitor
2. Assess for airway patency
3. Obtain blood pressure
4. Establish intravenous access
8. Question 8 2/2
A nurse is assisting the provider in caring for a client who has developed a tension
pneumothorax. Which actions should be performed first?
Show answer choices
1. Assess the client's pain
2. Prepare for large-bore needle thoracostomy
3. Prepare for chest tube insertion
4. Administer lorazepam
9. Question 9 2/2
An arterial blood gas (ABG) has been ordered for a mechanically ventilated client. The
laboratory results reveal a pH 7.30, PaCO2 55 mmHg, HCO3 41mEq/L. The nurse
interprets these findings as which of the following?
Show answer choices
1. Respiratory alkalosis with full metab [Show Less]