NUR 2755 Multidimensional Care IV
MDC4 Exam 2
Hypovolemic shock treatment
Correct Answer:
IVF normal saline, transfuse PRBC's as needed
compensatory stage of Hypovolemic shock
Correct Answer:
-able to maintain perfusion
- B/P is normal
- anxiety, restless, combative
- thirst
- weakness
- dilated pupils
-decreased urine output _tachycardia
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Progressive stage of shock
Correct Answer:
Weak thready pulse Excessively low BP- below 90 systolic Edema Dysrhythmia
How often should a nurse evaluate breath sounds when a patient is on a vent?
Correct Answer:
every 4 hours
types of distributive shock
Correct Answer:
Septic Anaphylactic Neurogenic
Ventilator Alarms -Low Pressure -High Pressure
Correct Answer:
-Low: disconnection
-High: suction for possible secretions, kinks.
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ARDS (acute respiratory distress syndrome)
Correct Answer:
respiratory insufficiency marked by progressive hypoxia
burn patient plan of care
Correct Answer:
No vegetables, fresh flowers High protein foods 5000 calorie diet Physical therapy Apply compression dressing after grafts heal
Which Client is most at risk for MODS
Correct Answer:
Septic Shock
Dissiminated Intravascular Coagulation (DIC)
Correct Answer:
abnormal coagulation involving fibrinogen
atalectasis sounds
Correct Answer:
Rhonchi or lack of breath sounds
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