A patient diagnosed with shock is prescribed dobutamine (Dobutrex). Which finding indicates this medication has been effective?
1. increased heart rate
2. reduced heart rate
3. decreased respiratory rate
4. decreased blood pressure
Question 2The nurse is preparing to administer intravenous nitroglycerin to a patient diagnosed with cardiogenic shock. What should the nurse do when administering this medication?
1. Use an infusion pump.
2. Administer with PVC tubing.
3. Use within 8 hours of reconstitution.
4. Allow the patient to get out of bed only with assistance.
Question 3A patient with a traumatic brain injury is being evaluated for brain death. Which findings should the nurse expect in this patient?
Select all that apply.
1. absence of gag or corneal reflex
2. absence of oculovestibular reflex
3. apnea with PaCO2 of 66 mmHg
4. toxic metabolic disorders
5. response to deep stimuli
Question 4A patient diagnosed with hypovolemic shock is prescribed intravenous fluids while awaiting blood transfusions. Which solution does the nurse recognize would be best for this patient?
1. Ringer's lactate
2. Dextrose 5 and water
3. Dextrose 5 and 0.45 normal saline
4. Dextrose 5 and 0.9 normal saline
Question 5A patient admitted with multiple injuries is prescribed an intravenous colloid solution. Which solution would be appropriate for the nurse to infuse?
1. 25 albumin
2. 0.9 normal saline
3. dextrose 5 and 0.45 normal saline
4. dextrose 5 and water
Question 6A patient with multiple gunshot wounds to the abdomen has received 8 units of blood. The blood bank notifies the nurse that they have run out of blood for the patient.
The nurse knows the patient can receive any type of blood if the patient has which blood type?
1. AB
2. A
3. B
4. O
Question 7A patient with multiple traumatic injuries has experienced severe blood loss and is prescribed to receive blood immediately.
The nurse realizes that because there is not enough time for type and crossmatch, the patient will most likely receive which type of blood?
1. O
2. A
3. B
4. AB
Question 8The nurse determines that a patient is experiencing ongoing progression of a shock state. What finding led the nurse to come to this conclusion?
1. decrease in serum glucose level
2. drop in blood urea nitrogen level
3. increased eosinophil level
4. low serum cardiac enzyme level
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