Exam 5

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Exam 5


Froggy Jumps Exam 5Versión en línea Review for Exam 5 por Tenora 1 A nurse is caring for a client diagnosed with sepsis. Which physician order should the nurse implement first? a Obtain blood cultures b Apply oxygen via nasal cannula at 2 L/min c Administer 0.9% NS bolus of 30 mL/kg 2 Which intervention should the nurse implement to support renal function in a client with cardiogenic shock and early signs of MODS? a Monitor hourly urine output and BUN/creatinine b Encourage oral fluid intake c Administer a loop diuretic as needed 3 A client in cardiogenic shock is receiving a continuous infusion of nitroprusside. Which assessment finding indicates that the treatment is effective? a Blood pressure increased from 82/50 mmHg to 100/65 mmHg b Increased urine output from 20 mL/hr to 50 mL/hr c Decreased jugular vein distention and increased crackles in the lungs 4 The nurse is preparing to administer a norepinephrine (Levophed) infusion to a client in shock. Which of the following assessment findings would require the nurse to consult with the health care provider before initiating the infusion? a Blood pressure 78/42 mmHg b Central line not yet inserted; peripheral IV in place c Heart rate 112 bpm 5 Which intervention will the nurse include in the plan of care for a patient who has cardiogenic shock? a Monitor for crackles and shortness of breath b Administer large volumes of IV fluids rapidly c Encourage early ambulation to improve circulation 6 The nurse is assessing a client who has hypovolemic shock. Which laboratory value indicates that the client is at risk for acidosis? a Potassium 3.9 mEq/L b Serum lactate 5.2 mmol/L c Hematocrit 47% 7 The nurse is caring for a patient with Multiple Organ Dysfunction Syndrome (MODS). Which of the following assessment findings is the most accurate indicator of adequate tissue perfusion? a Heart rate of 96 beats per minute b Urine output of 35 mL/hr c Blood pressure of 102/58 mmHg 8 What are risk factors for obstructive shock? a A patient who lost 500 mL of blood during surgery b A patient with myocarditis c Tension Pneumothorax 9 Three pathophysiologic effects of shock are? a HIP (Hypoperfusion, Impaired cellular metabolism, & Pathologic compensatory response) b unstable vital signs c diarrhea 10 Levophed is often started when fluid resuscitation fails to restore BP in shock ? a True b False c 11 Which one is NOT the mechanism of action of levophed? a Vasoconstrictor b increase blood pressure c Vasodilator 12 The three types of organ rejection are hyperacute, acute, and chronic rejection? a True b False c 13 A patient received a kidney transplant 10 days ago. The patient presents with fever, elevated blood pressure, oliguria, and increased serum creatinine. The nurse suspects the patient is experiencing which type of organ rejection? a Delayed hypersensitivity reaction b Chronic rejection c Acute rejection 14 A client who received a liver transplant 6 months ago reports fatigue, mild jaundice, and elevated liver enzymes on lab work. Which type of rejection is the nurse most likely to suspect? a Chronic rejection b Anaphylactic rejection c Hyperacute rejection 15 Impaired myocardial contractility does not cause cardiogenic shock? a True b False c

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Exam 5

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Exam 5Versión en línea

por Tenora

A nurse is caring for a client diagnosed with sepsis. Which physician order should the nurse implement first?

Which intervention should the nurse implement to support renal function in a client with cardiogenic shock and early signs of MODS?

A client in cardiogenic shock is receiving a continuous infusion of nitroprusside. Which assessment finding indicates that the treatment is effective?

The nurse is preparing to administer a norepinephrine (Levophed) infusion to a client in shock. Which of the following assessment findings would require the nurse to consult with the health care provider before initiating the infusion?

Which intervention will the nurse include in the plan of care for a patient who has cardiogenic shock?

The nurse is assessing a client who has hypovolemic shock. Which laboratory value indicates that the client is at risk for acidosis?

The nurse is caring for a patient with Multiple Organ Dysfunction Syndrome (MODS). Which of the following assessment findings is the most accurate indicator of adequate tissue perfusion?

What are risk factors for obstructive shock?

Three pathophysiologic effects of shock are?

Levophed is often started when fluid resuscitation fails to restore BP in shock ?

Which one is NOT the mechanism of action of levophed?

The three types of organ rejection are hyperacute, acute, and chronic rejection?

A patient received a kidney transplant 10 days ago. The patient presents with fever, elevated blood pressure, oliguria, and increased serum creatinine. The nurse suspects the patient is experiencing which type of organ rejection?

A client who received a liver transplant 6 months ago reports fatigue, mild jaundice, and elevated liver enzymes on lab work. Which type of rejection is the nurse most likely to suspect?

Impaired myocardial contractility does not cause cardiogenic shock?