A client who has experienced a severe blood loss becomes hypotensive and loses consciousness. The nurse suspects that the client is experiencing:
1. Hypovolemic shock.
2. Neurogenic shock.
3. Cardiogenic shock.
4. Anaphylactic shock.
Question 2The nurse is caring for a client who has suffered a severe trauma with pelvic and femur fractures. Because the injuries can lead to shock, the nurse should plan for which treatment?
1. Endotracheal intubation
2. Multiple transfusions
3. Application of femur and pelvic splints
4. Pneumatic antishock garment (PASG)
Question 3The nurse is caring for a client in the ICU who is experiencing shock. The nurse notes that the client appears to be confused and is not sleeping well. What should the nurse do to help this client?
1. Keep the lights on to orient the client.
2. Plan care so that there is someone in the room every hour.
3. Encourage family members to sit at the bedside and touch the client.
4. Ask the physician for sleeping pills.
Question 4The nurse comes upon the scene of a multiple motor vehicle crash and decides to stop and help because there are no emergency personnel present. The first priority for the nurse is to:
1. Ensure that victims are removed from their cars.
2. Quickly check all victims and perform CPR on the most injured.
3. Assess the scene for safety to prevent more harm.
4. Begin treating clients trapped in their cars.
Question 5The family of a client in the ICU expresses their concern because their family member is confused and disoriented. The best explanation by the nurse is:
1. This is expected in older clients with dementia.
2. You can help us reverse this problem.
3. You are visiting too much and disrupting care.
4. The client might not recover from the confusion.
Question 6The nurse is working in the emergency department, and is anticipating the arrival of a client who fell from a second story window. The priority of care for this client upon arrival would be:
1. Assessing the blood pressure.
2. Determining level of consciousness.
3. Establishing and maintaining a patent airway.
4. Examining the client for blood loss.
Question 7A client who experienced poisoning is about to be discharged from the hospital, and asks the nurse is it would be helpful to have syrup of ipecac in the home for emergency purposes.
The nurse should explain that syrup of ipecac is not recommended for the home because:
1. The client can overdose on the medication.
2. Ipecac induces vomiting, which could cause airway damage.
3. Charcoal is a better substitute for all poisonings.
4. The client might not be able to find the medication when needed.
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