Biology Forums - Study Force

To evaluate the effectiveness of the pantoprazole (Protonix) ordered for a patient with systemic inflammatory response syndrome (SIRS), which assessment will the nurse perform?
 
  a. Auscultate bowel sounds.
  b. Palpate for abdominal pain.
  c. Ask the patient about nausea.
  d. Check stools for occult blood.

Question 2

A 19-year-old patient with massive trauma and possible spinal cord injury is admitted to the emergency department (ED). Which assessment finding by the nurse will help confirm a diagnosis of neurogenic shock?
 
  a. Inspiratory crackles.
  b. Cool, clammy extremities.
  c. Apical heart rate 45 beats/min.
  d. Temperature 101.2 F (38.4 C).

Question 3

An older patient with cardiogenic shock is cool and clammy and hemodynamic monitoring indicates a high systemic vascular resistance (SVR). Which intervention should the nurse anticipate doing next?
 
  a. Increase the rate for the dopamine (Intropin) infusion.
  b. Decrease the rate for the nitroglycerin (Tridil) infusion.
  c. Increase the rate for the sodium nitroprusside (Nipride) infusion.
  d. Decrease the rate for the 5 dextrose in normal saline (D5/.9 NS) infusion.

The answer to question 1

ANS: D
Proton pump inhibitors are given to decrease the risk for stress ulcers in critically ill patients. The other assessments also will be done, but these will not help in determining the effectiveness of the pantoprazole administration.

The answer to question 2

ANS: C
Neurogenic shock is characterized by hypotension and bradycardia. The other findings would be more consistent with other types of shock.

The answer to question 3

ANS: C
Nitroprusside is an arterial vasodilator and will decrease the SVR and afterload, which will improve cardiac output. Changes in the D5/.9 NS and nitroglycerin infusions will not directly decrease SVR. Increasing the dopamine will tend to increase SVR.

I can't even begin to explain how much your help meant to me!

Happy to hear that, good luck with the rest of them