35) When the charge nurse is evaluating the skills of a new RN, which action by the newRN indicates a need for more education in the care of patients with shock?(a) Placing the pulse oximeter on the ear for a patient with septic shock(b) Keeping the head of the bed flat for a patient with hypovolemic shock(c) Decreasing the room temperature to 68 degrees for a patient with neurogenic shock(d) Increasing the nitroprusside infusion rate for a patient with a high SVR
Question
- When the charge nurse is evaluating the skills of a new RN, which action by the newRN indicates a need for more education in the care of patients with shock?(a) Placing the pulse oximeter on the ear for a patient with septic shock(b) Keeping the head of the bed flat for a patient with hypovolemic shock(c) Decreasing the room temperature to 68 degrees for a patient with neurogenic shock(d) Increasing the nitroprusside infusion rate for a patient with a high SVR
Solution
The action that indicates a need for more education in the care of patients with shock is (b) Keeping the head of the bed flat for a patient with hypovolemic shock.
Here's why:
a) Placing the pulse oximeter on the ear for a patient with septic shock is correct. The ear is a good site for pulse oximetry because it is less likely to be affected by peripheral vasoconstriction that can occur in shock.
b) Keeping the head of the bed flat for a patient with hypovolemic shock is incorrect. The patient's legs should be elevated to promote venous return to the heart, while the head of the bed should be slightly elevated to facilitate breathing.
c) Decreasing the room temperature to 68 degrees for a patient with neurogenic shock is correct. Patients with neurogenic shock can have disrupted temperature regulation, and a cooler room can help prevent hyperthermia.
d) Increasing the nitroprusside infusion rate for a patient with a high SVR (Systemic Vascular Resistance) is correct. Nitroprusside is a vasodilator that can help decrease SVR, which is often elevated in different types of shock.
Similar Questions
When the charge nurse is evaluating the skills of a new RN, which action by the new RN indicates a need for further education in the care of patients with shock?
54) A nurse is educating a new nurse on the different types of shock. The new nurse isasked to identify which client is not experiencing distributive shock?(a) A client with septic-induced hypotension refractory to adequate fluid resuscitation(b) A client with extensive spinal cord injury at T4 and a heart rate of 40 beats per minute(c) A client with an extreme type of allergic reaction to penicillin and stridor(d) A client with a tension pneumothorax and cardiovascular compression.
When caring for a patient who has septic shock, which assessment finding ismost important for the nurse to report to the care provider?(a) BP 92/56(b) Skin cool and clammy(c) Apical pulse 118 beats/min(d) Arterial oxygen saturation 91%
34) A patient with neurogenic shock has just arrived in the emergency department aftera driving accident. He has a cervical collar in place. Which of the following actionsshould the nurse take? (select all that apply)(a) Prepare to administer atropine IV(b) Obtained baseline body temperature(c) Prepare for intubation and mechanical ventilation(d) Administer large volumes of lactated Ringer’s solution(e) Assist the patient into a semi fowler’s position
56) A client is being treated for hypovolemic shock. As the nurse reassesses the client.Which finding indicates the interventions are effective?(a) Oxygen saturations remains unchanged(b) Core body temperature has increased to 99 degrees F(c) The client incorrectly states the month and year(d) Serum lactate and serum potassium levels are declining
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