Chapter 37 Med Surg

A

A client thought to be at risk for distributive shock is given a drug that constricts blood vessels. What effect does the nurse expect the drug to have on the clients Mean Arterial Pressure (MAP)? A. Increased MAP without a change in vascular volume. B. Increased MAP by increasing vascular volume. C. Decreased MAP from widespread capillary leak. D. Decreased MAP by decreasing vascular volume.

A, B, D, E, H

A client who is in the progressive stage of hypovolemic shock has all of the following signs, symptoms, or changes. Which ones does the nurse attribute to ongoing compensatory mechanisms? (select all that apply) A. increasing pallor B. increasing thirst C. increasing confusion D. increasing heart rate E. increasing respiratory rate F. decreasing systolic BP G. decreasing blood pH H. decreasing urinary output

D

Which systemic assessment finding in a client being treated for hypovolemic shock indicates to the nurse that interventions are currently effective? A. Oxygen saturation remains unchanged B. Core body temperature has increased to 99 degrees F (37.2 degrees C) C. The client correctly states the month and year D. Serum lactate and serum potassium levels are declining.

C

With which client should the nurse remain alert for the possibility of sepsis and septic shock? A. 41-year-old man who sustained closed depression fractures of the face when hit with a baseball. B. 53-year-old woman who had an open abdominal hysterectomy 3 days ago to remove several large fibroid tumors. C. 67-year-old woman on chronic corticoid steroid therapy who had several teeth extracted 2 days ago. D. 72-year-old man with severe allergies who is undergoing radiation therapy for early-stage prostate cancer.