Exam 66: Shock, sepsis, and Multiple Organ Dysfunction Syndrome

A nurse is caring for a patient whose hemodynamic monitoring indicates a blood pressure of 92/54 mm Hg,a pulse of 64 beats/min,and an elevated pulmonary artery wedge pressure (PAWP). Which intervention ordered by the health care provider should the nurse question?

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

The health care provider orders the following interventions for a 67-kg patient who has septic shock with a blood pressure of 70/42 mm Hg and O? saturation of 90% on room air. In which order will the nurse implement the actions? (Put a comma and a space between each answer choice [A,B,C,D,E].)

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

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?

Which finding about a patient who is receiving vasopressin to treat septic shock indicates an immediate need for the nurse to report the finding to the health care provider?

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?

To evaluate the effectiveness of the pantoprazole (Protonix)ordered for a patient with systemic inflammatory response syndrome (SIRS),which assessment will the nurse perform?

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

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

When the nurse educator is evaluating the skills of a new registered nurse (RN)caring for patients experiencing shock,which action by the new RN indicates a need for more education?

After change-of-shift report in the progressive care unit,who should the nurse care for first?

A 78-kg patient with septic shock has a pulse rate of 120 beats/min with low central venous pressure and pulmonary artery wedge pressure. Urine output has been 30 mL/hr for the past 3 hours. Which order by the health care provider should the nurse question?

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?

After receiving 2 L of normal saline,the central venous pressure for a patient who has septic shock is 10 mm Hg,but the blood pressure is still 82/40 mm Hg. The nurse will anticipate an order for

The emergency department (ED)nurse receives report that a seriously injured patient involved in a motor vehicle crash is being transported to the facility with an estimated arrival in 5 minutes. In preparation for the patient's arrival,the nurse will obtain

Which finding is the best indicator that the fluid resuscitation for a 90-kg patient with hypovolemic 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)?

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?