Unit L - Shock

Which statements about shock are true?

Which hormones are released in response to decreased mean arterial pressure (MAP)?

The patient has decreased oxygenation and impaired tissue perfusion. Which clinical manifestations are evidence of onset of the nonprogressive or compensatory states of shock?

Which patients are at risk for shock related to fluid shifts?

A young woman comes to the emergency department (ED) with lightheadedness and “a feeling of impending doom.” Pulse is 110 BPM; RR 30; BP 140/90. Which factors does the nurse ask about that could contribute to shock?

Which are specific causes or risk factors for cardiogenic shock?

The nursing student takes the morning blood pressure of a postoperative patient, and the reading is 90/50. What does the student do next?

For which indications would the nurse be prepared to administer a colloid product?

Which question can help guide the nurse when evaluating the mental status of a patient at risk for shock?

A patient is brought to the emergency department (ED) with a gunshot wound. What are the early signs of hypovolemic shock the nurse should monitor?

The nurse identifies s/s of internal hemorrhage in a postop patient. What is included in the care of this patient for hypovolemic shock?

A patient with hypovolemic shock is receiving an infusion of dopamine. Which nursing interventions are essential when a patient is receiving this drug?

A patient with hypovolemia is restless and anxious. The skin is cool and pale, pulse is thread at a rate of 135bpm, BP 92/50, and RR 32. What actions must the nurse take?

The nurse finds a patient on the bathroom floor. There is a large amount of blood on the floor and on the patient’s hospital gown. Which actions must the nurse take?

A patient is being discharged from the same-day surgery unit to home. Which early indicators of shock will the nurse teach the patient and family member to watch for and to seek medical attention immediately if they occur?

The nurse is preparing a teaching session or a patient at risk for septic shock. Which topics does the nurse include in this teaching?

The home health nurse is visiting a fail older adult patient at risk for sepsis because of failure to thrive and immunosuppression. What does the nurse assess this patient for?

Which patients are at risk for distributive septic shock?

The patient has been diagnosed with sepsis. Following the sepsis resuscitation bundle, which interventions should the nurse expect within the first 3 hours?