Prof Prac Exam 3 Practice Q's

A client who had a myocardial infarction is at risk for cardiogenic shock. The nurse plans care knowing that the primary cause of cardiogenic shock results from which process? 1. A pump failure and reduction in cardiac output 2. A physical obstruction that decreases filling or outflow of blood 3. Dilated vasculature decreasing the movement of blood to the body 4. Loss of vasoconstrictor tone, leading to pooling of blood in vessels

1

The nurse caring for a client suspected of being in hypovolemic shock is trying to anticipate treatment and management interventions. What plan is most appropriate for this client? Select all that apply. 1. Oxygen administration 2 Mental status checks every 15 minutes 3 Further assessment to confirm the type of shock 4 High-dose diuretics to minimize fluid accumulation 5 Laboratory blood draws every 30 minutes to trend abnormal values

1,2,3

The nurse monitors a client with a urinary tract infection (UTI) for signs of urosepsis. Which signs are indicative of this complication? Select all that apply. 1. oliguria 2. tachypnea 3. hypotension 4. prolonged capillary refill time 5. urinary retention and bladder distention

1,2,3

What primary characteristic of cardiogenic shock helps determine what nursing interventions are performed? 1 Blood pools in the heart, so care is focused on diuresing. 2 Urinary output is low, so care is focused on increasing circulating volume. 3 Hypotension is severe, so care is focused on blood pressure monitoring. 4 Cardiac output is compromised, so care is focused on restoring tissue perfusion.

4