The nurse, caring for a patient who sustained a traumatic injury several days ago, notes that the patient is hypotensive, oliguric, and has cool, pale skin and acidosis. The nurse understands that these are manifestations of which type of shock?
1. hypovolemic
2. cardiogenic
3. septic
4. anaphylactic
Question 2The nurse is providing medications to increase a patient's systemic vascular resistance. At which point will the nurse know that the patient has adequate tissue perfusion?
1. Mean arterial pressure reaches 60.
2. Mean arterial pressure reaches 90.
3. Blood pressure reaches 120/80 mmHg.
4. Urine output is 10 mL per hour.
Question 3A patient has an estimated blood loss of 2 liters and a mean arterial pressure ranging between 30 and 40 mmHg. If this patient's hemodynamic status is not corrected, what should the nurse realize can occur?
1. failure of sodium-potassium pump
2. cells shrinking
3. full and bounding peripheral pulses
4. metabolic alkalosis
Question 4A patient with traumatic injuries has lost approximately 300 mL of blood. What should the nurse expect to assess in this patient?
1. slight increase in heart rate
2. nonpalpable peripheral pulses
3. narrowing pulse pressure
4. increase in blood glucose level
Question 5A patient is brought to the emergency department with gunshot wounds to the abdomen and lower extremities. To protect the chain of evidence for these injuries, what should the nurse do?
1. Remove the patient's clothing and place in a breathable bag.
2. Cover the patient's hands with plastic bags.
3. Cut off the patient's clothing and bathe the skin and wounds as soon as possible.
4. Place clothing and other patient items on a bedside table and have a nursing assistant remove them when possible.
Question 6An adult patient who has died from traumatic injuries is an organ donor. What should the nurse do when caring for this patient?
1. Maintain systolic blood pressure of 90 mmHg.
2. Keep oxygen saturation level at 75.
3. Administer intravenous fluids to maintain a urine output of 25 mL per hour.
4. Perform external cardiac compressions to achieve a heart rate of 60 beats per minute.
Question 7The spouse of a patient admitted with severe head injury tells the nurse that she believes her husband is going to recover because he is continuing to make movements without stimulation. What should the nurse explain to the spouse?
1. With head injuries, the patient can continue to make movements, but these are reflexes that do not reflect brain function.
2. Your husband will likely recover in time.
3. As long as he has oxygen to the brain, he will recover.
4. His movements indicate that his brain is dead.
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