Sole - Chapter 12 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome fully solved & updated
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Course
Shock, Sepsis & Multiple Organ Dysfunction NCLEX
Institution
Shock, Sepsis & Multiple Organ Dysfunction NCLEX
The nurse is caring for a patient admitted with hypovolemic shock. The nurse palpates thready brachial pulses but is unable to auscultate a blood pressure. What is the best nursing action?
A. Assess the blood pressure by Doppler.
B. Estimate the systolic pressure as 60 mm Hg.
C. Obtain an electr...
Sole - Chapter 12: Shock,
Sepsis, and Multiple Organ
Dysfunction Syndrome fully
solved & updated(100%
accuracy)
The nurse is caring for a patient admitted with hypovolemic shock.
The nurse palpates thready brachial pulses but is unable to
auscultate a blood pressure. What is the best nursing action?
A. Assess the blood pressure by Doppler.
B. Estimate the systolic pressure as 60 mm Hg.
C. Obtain an electronic blood pressure monitor.
D. Record the blood pressure as "not assessable." - answer A
The nurse has just completed an infusion of a 1000 mL bolus of 0.9%
normal saline in a patient with severe sepsis. One hour later, which
laboratory result requires immediate nursing action?
A. Creatinine 1.0 mg/dL
B. Lactate 6 mmol/L
C. Potassium 3.8 mEq/L
D. Sodium 140 mEq/L - answer B
The nurse has been administering 0.9% normal saline intravenous
fluids in a patient with severe sepsis. To evaluate the effectiveness
of fluid therapy, which physiological parameters would be most
important for the nurse to assess?
A. Breath sounds and capillary refill
B. Blood pressure and oral temperature
, C. Oral temperature and capillary refill
D. Right atrial pressure and urine output - answer D
A patient is admitted to the critical care unit following coronary
artery bypass surgery. Two hours postoperatively, the nurse
assesses the following information: pulse is 120 beats/min; blood
pressure is 70/50 mm Hg; pulmonary artery diastolic pressure is 2
mm Hg; cardiac output is 4 L/min; urine output is 250 mL/hr; chest
drainage is 200 mL/hr. What is the best interpretation by the nurse?
A. The assessed values are within normal limits.
B. The patient is at risk for developing cardiogenic shock.
C. The patient is at risk for developing fluid volume overload.
D. The patient is at risk for developing hypovolemic shock. - answer
D
A patient is admitted after collapsing at the end of a summer
marathon. The patient is lethargic, with a heart rate of 110
beats/min, respiratory rate of 30 breaths/min, and a blood pressure
of 78/46 mm Hg. The nurse anticipates administering which
therapeutic intervention?
A. Human albumin infusion
B. Hypotonic saline solution
C. Lactated Ringer's bolus
D. Packed red blood cells - answer C
The nurse is caring for a patient in the early stages of septic shock.
The patient is slightly confused and flushed, with bounding
peripheral pulses. Which hemodynamic values is the nurse most
likely to assess?
A. High pulmonary artery occlusive pressure and high cardiac
output
B. High systemic vascular resistance and low cardiac output
C. Low pulmonary artery occlusive pressure and low cardiac output
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