The nurse is caring for a patient in liver failure who is exhibiting signs and symptoms of hypovolemic shock.
The nurse should anticipate that the health care provider will order the administration of what crystalloid for the management of this patient?
A) Lactated Ringer's
B) Albumin
C) Dextran
D) 3 NaCl
Question 2The nurse is admitting a patient with a diagnosis of a gastrointestinal bleed who is in the compensatory stage of shock. Which of the following is an early sign that accompanies compensatory shock?
A) Increased urine output
B) Decreased heart rate
C) Hyperactive bowel sounds
D) Cool, clammy skin
Question 3The nurse is assessing an acutely ill patient. When prioritizing the patient's care, the nurse should recognize that the patient is at risk for hypovolemic shock when:
A) Fluid circulating in the blood vessels decreases.
B) Cardiac output is increased.
C) Blood pressure increases.
D) Pulse is fast and bounding.
Question 4An understanding of the pathophysiologic rationale behind shock is necessary for sound nursing practice. Which of the following statements best describes the pathophysiology of shock?
A) Blood is shunted from vital organs to peripheral areas of the body.
B) Cells lack an adequate blood supply and are deprived of oxygen and nutrients.
C) Circulating blood volume is decreased.
D) Hemorrhage occurs as a result of trauma.
Question 5A patient has entered the rehabilitative stage of burn treatment and is now receiving extensive health education in preparation for discharge. The patient's plan of care involves the use of elastic pressure garments.
What teaching should the nurse provide to the patient about this intervention?
A) It's important that you try to keep your pressure garments in place at all times.
B) Scarring will be best controlled if you remove your pressure garments for 3 to 4 hours each day.
C) You should plan to wear your pressure garments for 24 hours a day, 5 to 6 days a week.
D) Your pressure garments will be most effective if you wear them in a cycle of 2 hours on, 2 hours off.
Question 6A nurse who is contributing to the care of a patient with burns recognizes that the patient's injuries are associated with severe and debilitating pain at nearly all stages of treatment and recovery.
What pharmacological intervention is most commonly used in the treatment of burn pain?
A) Intravenous morphine
B) Intravenous hydromorphone (Dilaudid)
C) Oral oxycodone
D) Oral codeine
Question 7Acticoat has been ordered as a component of a burn patient's wound care and infection control regimen. When applying this wound care product, the nurse should:
A) Allow the Acticoat to dry thoroughly before covering it with a dry dressing.
B) Moisten the Acticoat with sterile water and then apply it to the wound bed.
C) Use a pad of Acticoat to perform mechanical debridement.
D) Change the dressing every 18 to 24 hours.
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