Life Span 3 Shock(4-2)
Which of the following findings is the best indication that fluid replacement for the client in hypovolemic shock is adequate A Urine output greater than 30ml/hr B SBP > 110mm Hg C DBP > 90mm Hg D Resp. rate of 20/min
A Urine output greater than 30ml/hr
What is a priority assessment for the client in shock who is receiving IV PRBC & NS A Fluid balance B Anaphylactic reaction C Pain D Altered LOC
B Anaphylactic reaction
The nurse in preop keeps the pt with gastric bleeding in a dimly lit enviornment with one family member present. What is the primary rationale for these nursing interventions A To stabilize fluid & elytes B To minimize O2 consumption C Increase pt & family comfort D prevent infection
B To minimize O2 consumption
When assessing a client for early septic shock the nurse observes for which of the following A Cool clammy skin B Warm flushed skin C Decreased SBP D Hemorrhage
B Warm flushed skin
Which of the following is the most important goal of nursing care for a client who is in shock A Manage fluid overload B Manage increased cardiac output C Manage inadequate tissue perfusion D Manage vasoconstriciton of vascular beds
C Manage inadequate tissue perfusion
What nursing intervention is most important in preventing septic shock A Administering IVF replacement therapy as ordered B Obtaining vital signs every 4 hours for all clients C Monitoring RBC counts for elevation D Maintaining asepsis of indwelling urinary catheters
D Maintaining asepsis of indwelling urinary catheters
