A patient who is being treated for hypovolemic shock is in an acutely ill state and unable to take food or fluids by mouth.
The nurse knows that the patient's nutritional needs should not be neglected, however, and should advocate for which of the following?
A) The initiation of total parenteral nutrition when the patient's condition stabilizes
B) The initiation of parenteral or enteral nutritional support as soon as possible
C) Administration of colloids in order to meet the patient's short-term nutritional needs
D) Addition of multivitamins to the patient's intravenous solution
Question 2A patient in shock has been started on a dobutamine infusion in the intensive care unit. The nurse knows that the infusion rate will be constantly adjusted to maximize therapeutic effect.
Changes to the infusion rate of this vasoactive medication will be primarily based on what assessment finding?
A) Mean arterial pressure (MAP)
B) Arterial blood gasses (ABGs)
C) Fluid balance
D) Level of consciousness
Question 3The intensive care nurse is caring for a middle-aged, male patient who has been diagnosed with septic shock. The patient's wife, children, and parents have been waiting anxiously in the designated waiting area of the intensive care unit.
Knowing that the patient's condition has rapidly deteriorated over the past hour, the nurse should:
A) Teach the family about the potential benefits of organ donation.
B) Facilitate an opportunity for the family to be at the patient's bedside.
C) Reassure the family that the patient is being treated with dignity.
D) Ensure that the family understands why his condition has worsened.
Question 4The intensive care nurse is contributing to the care of patient who has just been admitted with a presentation that is characteristic of shock.
The nurse is providing constant assessment of numerous parameters but should know that a priority indicator of the patient's current status is:
A) Core body temperature
B) Oxygen saturation by pulse oximetry
C) Blood pressure
D) Cognitive status
Question 5A patient has been admitted to the emergency department with a massive gastrointestinal bleed and the team recognizes that hypovolemic shock is an imminent possibility.
What assessment finding would suggest that the patient is deteriorating from a preshock state into shock?
A) The patient is confused and agitated.
B) The patient's respiratory rate is 24 breaths per minute.
C) The patient's blood pressure is 127/71.
D) The patient has crackles on chest auscultation.
Question 6The nurse is providing care for a patient who is showing signs and symptoms of shock.
The nurse is choosing and prioritizing nursing interventions that are framed in the knowledge that the restoration of adequate tissue perfusion is essential to the patient's safe recovery. Tissue perfusion results from the interplay of which of the following essential factors? Select all that apply.
A) Hemostasis
B) Balanced fluid intake and output
C) Systemic vascular resistance
D) Cardiac output
E) Level of consciousness
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