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A patient in hypovolemic shock is receiving rapid infusions of crystalloid fluids. Which patient finding requires immediate nursing action?Question 1Select one:a.Patient is anxiousb.Patient heart rate is 115 bpmc.Patient's urinary output is 35 mL/hrd.Patient experiences dyspnea and crackles in lung fields

Question

A patient in hypovolemic shock is receiving rapid infusions of crystalloid fluids. Which patient finding requires immediate nursing action?Question 1Select one:a.Patient is anxiousb.Patient heart rate is 115 bpmc.Patient's urinary output is 35 mL/hrd.Patient experiences dyspnea and crackles in lung fields

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Solution

The patient finding that requires immediate nursing action is option d: the patient experiences dyspnea and crackles in lung fields.

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A patient is receiving large amounts of fluids for aggressive treatment of hypovolemic shock. The nurse makes it PRIORITY to?Question 9Select one:a.Rapidly infuse the fluidsb.Keep the patient supinec.Change tubing in between bagsd.Warm the fluids

26. For fluid resuscitation in hemorrhagic shock, give about _____of crystalloid for every________of blood lost.A 1mL,3 mLB 3ml,1mL C 2 ml,3 ml D 3 ml,2ml27. All of the following are signs of cardiogenic shock EXCEPT: A Signs of increased respiration, often times including extended neck veins B Signs of pulmonary or systemic venous congestion C Improved tissue perfusion in response to fluid therapy D Declined respiratory function in respanse to fluid therapy28. Indicators of adequate tissue perfusion include:A Capillary refill time more than four secondsB Pulse oximetry below 90%C Urine ouput above one ml/kg per hourC Increased lactate29. Drugs that can be administered down the endotracheal (ET) tube include all of the following EXCEPT:A AtropineB LidocaineC EpinephrineD Adenosine

A nurse is assessing a client who has fluid volume overload from cardiogenic shock.Which manifestation of cardiogenic shock should the nurse expect?(a) Heart Rate 121bpm(b) Blood pressure 165/91 mm/Hg(c) Respiratory Rate 12 bpm(d) Temperature 103.1 F

The nurse is caring for a client experiencing hypovolemic shock. Which of thefollowing interventions would not be appropriate for this client? ***(a) Monitor intravenous fluid replacement.(b) Monitor vital signs(c) Monitor hemoglobin and hematocrit levels(d) Assist to a sitting position

32) A patient with shock of unknown etiology whose hemodynamic monitoring indicatesa BP 92/54, pulse 64, and an elevated pulmonary artery wedge pressure has thefollowing collaborative interventions prescribed. Which intervention will the nursequestion?(a) Infuse normal saline at 250ml/hr(b) Keep head of bed elevated to 30 degrees(c) Give nitroprusside unless systolic BP is less than 90 mmHg(d) Administer dobutamine to keep systolic BP greater than 90 mmHg

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