Exam 67: Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple Organ Dysfunction Syndrome

An older patient with cardiogenic shock is cool and clammy and hemodynamic monitoring indicates a high systemic vascular resistance (SVR).Which intervention should the nurse anticipate doing next?

During change-of-shift report,the nurse is told that a patient has been admitted with dehydration and hypotension after having vomiting and diarrhea for 4 days.Which finding is most important for the nurse to report to the health care provider?

Which preventive actions by the nurse will help limit the development of systemic inflammatory response syndrome (SIRS)in patients admitted to the hospital ?

After reviewing the information shown in the accompanying figure for a patient with pneumonia and sepsis,which information is most important to report to the health care provider?

A 78-kg patient with septic shock has a urine output of 30 mL/hr for the past 3 hours.The pulse rate is 120/minute and the central venous pressure and pulmonary artery wedge pressure are low.Which order by the health care provider will the nurse question?

Norepinephrine (Levophed)has been prescribed for a patient who was admitted with dehydration and hypotension.Which patient data indicate that the nurse should consult with the health care provider before starting the norepinephrine?

Which assessment information is most important for the nurse to obtain to evaluate whether treatment of a patient with anaphylactic shock has been effective?

Which data collected by the nurse caring for a patient who has cardiogenic shock indicate that the patient may be developing multiple organ dysfunction syndrome (MODS)?

A patient with septic shock has a BP of 70/46 mm Hg,pulse 136,respirations 32,temperature 104° F,and blood glucose 246 mg/dL.Which intervention ordered by the health care provider should the nurse implement first?

A patient is admitted to the emergency department (ED)for shock of unknown etiology.The first action by the nurse should be to

A patient with cardiogenic shock has the following vital signs: BP 102/50,pulse 128,respirations 28.The pulmonary artery wedge pressure (PAWP)is increased and cardiac output is low.The nurse will anticipate an order for which medication?

Which finding is the best indicator that the fluid resuscitation for a patient with hypovolemic shock has been effective?

A patient who has been involved in a motor vehicle crash arrives in the emergency department (ED)with cool,clammy skin; tachycardia; and hypotension.Which intervention ordered by the health care provider should the nurse implement first?

A nurse is caring for a patient with shock of unknown etiology whose hemodynamic monitoring indicates BP 92/54,pulse 64,and an elevated pulmonary artery wedge pressure.Which collaborative intervention ordered by the health care provider should the nurse question?

The emergency department (ED)nurse receives report that a patient involved in a motor vehicle crash is being transported to the facility with an estimated arrival in 1 minute.In preparation for the patient's arrival,the nurse will obtain

The patient with neurogenic shock is receiving a phenylephrine (Neo-Synephrine)infusion through a right forearm IV.Which assessment finding obtained by the nurse indicates a need for immediate action?

A 198-lb patient is to receive a dobutamine infusion at 5 mcg/kg/minute.The label on the infusion bag states: dobutamine 250 mg in 250 mL normal saline.When setting the infusion pump,the nurse will set the infusion rate at how many mL per hour?

A 19-year-old patient with massive trauma and possible spinal cord injury is admitted to the emergency department (ED).Which assessment finding by the nurse will help confirm a diagnosis of neurogenic shock?

A patient with suspected neurogenic shock after a diving accident has arrived in the emergency department.A cervical collar is in place.Which actions should the nurse take ?

The following interventions are ordered by the health care provider for a patient who has respiratory distress and syncope after eating strawberries.Which will the nurse complete first?