To evaluate the effectiveness of the pantoprazole (Protonix) ordered for a patient with systemic ...

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.