What symptoms would indicate the patient is experiencing hypovolemia select all that apply?

Question 1 of 10

A client has developed bradycardia and symptoms of shock. Which of the following medications would the nurse most likely administer to correct this situation?

• Adenosine
• Verapamil
• Amiodarone
• Atropine

Question 2 of 10

A 28-year-old client is brought to the emergency department after a motor vehicle accident and has suffered a fractured pelvis. The client is demonstrating signs of hemorrhagic shock as a result of his injuries. Which of the following types of fluids would be most appropriate to administer initially during the resuscitation period?

• Lactated Ringer's
• D10W
• D5 NS
• ½ NS with potassium

Question 3 of 10

A nurse is assessing a client. Which of the following signs and symptoms would indicate the client is in shock? Select all that apply.

• Blue nail beds
• Yellowing of the sclera
• Rapid pulse rate
• Shallow respirations
• Wheezy breath sounds

Question 4 of 10

A client who was diagnosed with heart failure has developed cardiogenic shock as a complication of the condition and needs an intra-aortic balloon pump placed. Which of the following statements accurately describes an intra-aortic balloon?

• The balloon is regularly inflated and deflated to support the pumping action of the heart
• The IABP increases systemic vascular resistance to strengthen the heart's ventricles
• The catheter is typically inserted in the subclavian artery and inflated in the abdominal aortic artery
• The balloon inflates during systole to increase pressure in the aorta

Question 5 of 10

Which best describes the difference between septic shock and multiple organ dysfunction syndrome (MODS)?

• Septic shock causes an elevation in body temperature, tachycardia, and tachypnea, while MODS causes a hypothermia, bradycardia, and bradypnea
• Septic shock causes significant illness but is rarely life threatening, while MODS has very high mortality rates
• Septic shock refers to the presence of bacteria in the blood, while MODS is chronic inflammation
• Septic shock is caused by infection that results in hypotension, while MODS involves hypotension as well as other body system abnormalities

Question 6 of 10

A client presents to the ER bleeding profusely from a gunshot wound. The client is in hypovolemic shock and needs a rapid transfusion. What does the nurse anticipate to replace blood volume after starting the IV?

• Send a type and cross to the lab for analysis
• Transfuse AB+ blood without knowing the client's blood type
• Transfuse O- blood without knowing the client's blood type
• Send a type and screen to the lab for analysis

Question 7 of 10

A new nurse is having a difficult time knowing which client should be seen first because they all seem important. The nurse preceptor helps and explains that the client with which of the following should be seen first?

• Febrile, tachycardia, and vomiting
• Hypotension, tachycardia, and lethargy
• Abdominal pain, hypertensive and constipated
• Dizziness with normal vital signs

Question 8 of 10

Which of the following conditions put a client at risk for cardiogenic shock? Select all that apply.

• Deep vein thrombus
• Hypotension
• Cardiac tamponade
• Pulmonary embolus
• Damaged heart valves

Question 9 of 10

A nurse is caring for a client who is being treated for acute myocardial infarction. The nurse knows that some clients with acute MI go on to develop cardiogenic shock, which can be fatal. Based on the nurse’s understanding of this condition, the nurse knows to look for which of the following signs of cardiogenic shock?

• Hypotension of less than 100 mmHg systolic for more than 15 minutes
• Muscle and/or joint pain
• Hot, flushed extremities
• Oliguria and poor peripheral pulses

Question 10 of 10

The priority nursing intervention for septic shock is which of the following?

• Provide IV antibiotics
• Monitor electrolytes
• Monitor respiratory rate
• Keep the body temperature below 100 degrees Fahrenheit

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