NUR 220 Exam 2 Questions With Correct
Answers
A 70 year old woman has been transferred to the ICU, dx of pyelonephritis with
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signs and symptoms of septic shock. What types of monitoring and assessment
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are most likely to be used in this patient's immediate care? Select all that apply.
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1. Peripheral IV access
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2. Arterial line
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3. Pulmonary artery catheter
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4. Ventricular assist device
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5. Cardiac monitor - CORRECT ANSWER✔✔-1. Peripheral IV access
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2. Arterial line
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3. Pulmonary artery catheter
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5. Cardiac monitor
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A patient is treated in the emergency department for shock of unknown etiology.
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The first action by the nurse should be to...
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1. check for blood pressure
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2. obtain an oxygen saturation
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3. attach a cardiac monitor
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, 4. check level of consiousness - CORRECT ANSWER✔✔-2. obtain an oxygen
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saturation
Diabetic patient has been vomiting/diarrhea for 3 days; BS: 748; BP: 72/62; P: 128
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irregular and thready; R: 38; T: 97; disoriented and lethargic; cold and clammy
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skin; cyanosis in the hands and feet... What is the patient experiencing?
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1. progressive stage of septic shock
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2. compensatory stage of diabetic shock
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3. refractory stage of cardiogenic shock
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4. progressive stage of hypovolemic shock - CORRECT ANSWER✔✔-4. progressive
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stage of hypovolemic shock
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A patient in septic shock has not responded to fluid resuscitation, as evidenced by
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a decreasing BP and decreasing cardiac output. The nurse anticipates the
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administration of which medication? | | |
1. nitroglycerine
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2. dobutamine
|
3. norepinephrine
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4. sodium nitroprusside - CORRECT ANSWER✔✔-3. norepinephrine
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The client has all the following clinical manifestations. Which assessment findings
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alerts the nurse to the probability of septic shock?
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Answers
A 70 year old woman has been transferred to the ICU, dx of pyelonephritis with
| | | | | | | | | | | | | | |
signs and symptoms of septic shock. What types of monitoring and assessment
| | | | | | | | | | | |
are most likely to be used in this patient's immediate care? Select all that apply.
| | | | | | | | | | | | | |
1. Peripheral IV access
| | |
2. Arterial line
| |
3. Pulmonary artery catheter
| | |
4. Ventricular assist device
| | |
5. Cardiac monitor - CORRECT ANSWER✔✔-1. Peripheral IV access
| | | | | | | |
2. Arterial line
| |
3. Pulmonary artery catheter
| | |
5. Cardiac monitor
| |
A patient is treated in the emergency department for shock of unknown etiology.
| | | | | | | | | | | | |
The first action by the nurse should be to...
| | | | | | | |
1. check for blood pressure
| | | |
2. obtain an oxygen saturation
| | | |
3. attach a cardiac monitor
| | | |
, 4. check level of consiousness - CORRECT ANSWER✔✔-2. obtain an oxygen
| | | | | | | | | | |
saturation
Diabetic patient has been vomiting/diarrhea for 3 days; BS: 748; BP: 72/62; P: 128
| | | | | | | | | | | | |
irregular and thready; R: 38; T: 97; disoriented and lethargic; cold and clammy
| | | | | | | | | | | | | |
skin; cyanosis in the hands and feet... What is the patient experiencing?
| | | | | | | | | | |
1. progressive stage of septic shock
| | | | |
2. compensatory stage of diabetic shock
| | | | |
3. refractory stage of cardiogenic shock
| | | | |
4. progressive stage of hypovolemic shock - CORRECT ANSWER✔✔-4. progressive
| | | | | | | | | |
stage of hypovolemic shock
| | |
A patient in septic shock has not responded to fluid resuscitation, as evidenced by
| | | | | | | | | | | | |
a decreasing BP and decreasing cardiac output. The nurse anticipates the
| | | | | | | | | | | |
administration of which medication? | | |
1. nitroglycerine
|
2. dobutamine
|
3. norepinephrine
|
4. sodium nitroprusside - CORRECT ANSWER✔✔-3. norepinephrine
| | | | | |
The client has all the following clinical manifestations. Which assessment findings
| | | | | | | | | | |
alerts the nurse to the probability of septic shock?
| | | | | | | |
