The client experiences shock following a spinal cord injury. This type of shock is classified as: Hypovolemic. Neurogenic.

Cardiogenic. Anaphylactic.

The client in shock is prescribed an infusion of lactated Ringer's solution. The nurse recognizes that the function of this fluid in the treatment of shock is to: Replace fluid, and promote urine output. Draw water into cells. Draw water from cells to blood vessels. Maintain vascular volume.

Nursing assessment of a client receiving serum albumin for treatment of shock should include: Assessing lung sounds. Monitoring glucose. Monitoring the potassium level. Monitoring hemoglobin and hematocrit.

Teaching for a client receiving plasma protein fraction (Plasmanate) should include reporting which of the following possible adverse reactions? Unusual bleeding Hyperglycemia Anaphylactic reaction Hypotension

The nurse should closely monitor the client receiving Dextran 70 (Macrodex) for: Dehydration. Cardiac dysrhythmias. Bleeding. Hypertension.

Which of the following requires intervention by the nurse caring for a client receiving Phenylephrine (Neosynephrine)? Decreased heart rate Decreased urinary output Respiratory rate 24 Negative Homans' sign

Dobutamine (Dobutrex) is used to treat a client experiencing cardiogenic shock. Nursing intervention includes: Monitoring for fluid overload. Monitoring for cardiac dysrhythmias. Monitoring respiratory status. Monitoring for hypotension.

The nurse weighs the client receiving dobutamine (Dobutrex) therapy daily. The rationale for this is to: Evaluate nutritional status. Evaluate fluid output. Determine drug dosage. Determine renal status.

The client care plan of a client receiving dopamine should include having phentolamine (Regitine) available for use. The purpose of this drug is to: Reverse hypertension. Treat nausea. Stimulate urinary output. Prevent necrosis if the IV extravasates.

The nurse evaluates the effectiveness of client education as it relates to anaphylaxis therapy. Which of the following might indicate that teaching was successful? (Select all that apply.) "I will seek emergency medical attention immediately if a single autoinjection of epinephrine fails to bring relief."

"I will report burning, irritation, tenderness, or swelling at my IV injections sites to my nurse." "I will carry an EpiPen to administer when I experience a hypersensitivity episode to peanuts." "If my EpiPen does not work effectively, I can increase the dose until the symptoms disappear."

Which of the following assessment findings is an early indication of hypovolemic shock?

Diminished bowel sounds Increased urinary output Tachycardia Hypertension

When compensatory mechanisms for hypovolemic shock are activated, the nurse would expect which two patient findings to normalize?
Intensity of peripheral pulses and body temperature. Peripheral pulses and heart rate (HR). Metabolic alkalosis and oxygen saturation. Cardiac output (CO) and blood pressure (BP).

Which type of fluid is most appropriate for volume replacement for a patient with non-hemorrhagic hypovolemic shock?
Lactated Ringers (LR) 10% Dextrose in Water (D 10 W) One-half Normal Saline (1/2% NS) Packed Red Blood Cells (PRBC)

A patient is receiving fluid boluses to treat hypovolemic shock. For which of the following assessment findings should the nurse stop the fluid boluses and notify the physician?
Tachycardia and hypotension.

Crackles throughout the lung fields. Peripheral cyanosis. Increased oxygen saturation percentages.

A patient with heart failure says he doesnt think he should take his Beta-blocking agent anymore since it makes his heart beat less forcefully. How might the nurse explain the development of heart failure so that the patient could understand the necessity of this medication? In heart failure
Your blood vessels are very constricted and your heart beats too quickly, a beta blocker can help to fix these things. The part of your nervous system that lets your heart slow down is not working, a beta blocker can help. The walls of your heart have gotten too thin and a beta blocker will help them to regrow. Your heart rate is too slow and a beta blocker will help to regulate it.

The nurse would expect to find which of the following symptoms in a patient with end-organ hypoperfusion heart failure?
Increased blood pressure (BP) and decreased heart rate (HR). Increased exercise tolerance. Palpitations and prolonged capillary refill times. Paroxysmal noctural dyspnea (PND).

A patient has jugular venous distention, an enlarged liver and ascites. Which of the following objective findings would the nurse also expect to find?
PAWP 12 mmHg. PA pressure 25/12. RA pressure 18. Weight gain of 2 pounds in the past month.

A patient in heart failure is started on beta blocker therapy

with carvedilol (Coreg). During the first few hours after initiation of therapy, it is most important for the nurse to monitor the patients
blood pressure and pulse. ejection fraction. respiratory rate and breath sounds. weight.

When delivering care to a patient with acute decompensated heart failure with pulmonary edema, the nurse should expect to provide which of the following collaborative interventions? (Select all that apply)
Titrate the FiO2 to maintain oxygen saturation levels above 92%. Use a 100% non-rebreather mask to minimize or avoid hypercarbia if necessary. Reduce the workload of breathing (WOB) by sitting the patient upright. Maintain the heart rate above 100 to increase the circulation of oxygen. Increase the PAWP to at least 22 to maximize the stroke volume (SV).

Which of the following symptoms is much more likely to be present in the older patient with heart failure than a younger individual?
Crackles in dependant lobes. Decreased urine output. Peripheral edema. Significant cognitive impairment.

A nurse is preparing to administer 3mg of morphine IV to a patient in acute decompensated heart failure. Which of the following is a desired effect of the morphine?
a decrease in level of consciousness. an increase in blood pressure to 140/76. a reduction in the respiratory rate to 8 breaths per minute. an increase in the oxygen saturation.