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
Question
- 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
Solution
The correct answer is (d) Serum lactate and serum potassium levels are declining.
Step-by-step explanation:
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Hypovolemic shock is a condition characterized by severe blood and fluid loss. It makes the heart unable to pump enough blood to the body, which can lead to organ failure.
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The effectiveness of interventions in hypovolemic shock is usually measured by the improvement in the client's vital signs and laboratory values.
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Option (a) is incorrect because oxygen saturation remaining unchanged does not necessarily indicate an improvement. In hypovolemic shock, oxygen saturation may be low due to inadequate blood flow.
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Option (b) is incorrect because an increase in core body temperature does not indicate an improvement. In fact, it could suggest a fever or infection.
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Option (c) is incorrect because the client incorrectly stating the month and year suggests a possible cognitive impairment, which is not a positive sign.
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Option (d) is correct because declining serum lactate and serum potassium levels are positive signs. High levels of serum lactate indicate that the tissues are not getting enough oxygen, and high levels of serum potassium can indicate damage to the kidneys or other cells in the body. Therefore, declining levels of these two substances suggest that the interventions are effective.
Similar Questions
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