SATA's final

Vital signs Skin color Urine output Peripheral pulses

The nurse is caring for a client diagnosed with shock. During report, the nurse reports the results of which assessments that signal early signs of the decompensation stage? Select all that apply.

kidney failure disseminated intravascular coagulation acute respiratory distress syndrome

A client has been treated for shock and is now at risk for which secondary but life-threatening complications? Select all that apply.

Famotidine (Pepcid) Nizatidine Lansoprazole

Stress ulcers occur frequently in acutely ill patient. Which of the following medications would be used to prevent ulcer formation? Select all that apply.

Paralysis Incontinence Aphasia

The nurse educator is facilitating a class on neurological function with a group of nursing students. When discussing problems that can result from growing brain tumors, the nurse educator should include that clients can experience which neurologic deficits even after surgical resection? Select all that apply.

Hypothermia Hypotension Hypoventilation

A client with a 20-year history of hypothyroidism who has not been compliant with taking thyroid replacement therapy is brought into the ED with a diagnosis of myxedema coma. What client symptoms are consistent with this life-threatening event? Select all that apply.

A decrease of cardiac output and evidence of tissue hypoxia in the presence of adequate intravascular volume.

A nurse assesses a client who is in cardiogenic shock. What statement best indicates the nurse's understanding of cardiogenic shock?

Hypovolemic shock; blood loss Cardiogenic shock; myocardial infarction Anaphylactic shock; nut allergy Septic shock; infectio

A nurse educator is teaching students the types of shock and associated causes. Which combination of shock type and causative factors is correct? Select all that apply.

Fetal hypothyroidism Fetal bradycardia Goiter Cretinism

Antithyroid medications are contraindicated in late pregnancy due to the fact that which of the following may occur? Select all that apply.

Increases lean muscle mass Increases resting metabolic rate as muscle size increases Decreases total cholesterol Increases glucose uptake by body muscles

Exercise lowers blood glucose levels. Which of the following are the physiologic reasons that explain this statement. Select all that apply.

Assess the client who is at risk for shock. Administer intravenous fluids. Monitor for changes in vital signs.

What can the nurse include in the plan of care to ensure early intervention along the continuum of shock to improve the client's prognosis? Select all that apply.

Urinary output Mental status Vital signs

When a patient in shock is receiving fluid replacement, what should the nurse monitor frequently? (Select all that apply.)

Low levels of IgM Absent B cells

When reviewing the laboratory test results of a client with X-linked agammaglobulinemia, which of the following would be most likely? Select all that apply.

Client has not consumed food and continues to take insulin or oral antidiabetic medications. Client has not consumed sufficient calories. Client has been exercising more than usual.

Which factors will cause hypoglycemia in a client with diabetes? Select all that apply.