2025 Update) Client-Centered Care IV
Complete Guide| Questions and Verified
Answers| All Modules | 100% Correct| A
Grade - Rasmussen
QUESTION
• Shock - As a nurse, how do you recognize shock in your patient? • What are the early and late
signs and symptoms? Cardiogenic shock - Know the causes (risk factors)
Answer:
MI/Heart attack CHF Hypertension Peripheral vascular disease • Kidney disease Type 2 diabetes
QUESTION
o Know the signs and symptoms
Answer:
MI symptoms seen initially Chest pain Jaw pain Diaphoresis (sweating) Nausea Dizziness Pallor
Peripheral edema Irregular heartbeat Lung congestion
QUESTION
Hypovolemic shock - o Know the causes (risk factors) how could hypovolemic shock happen?
Answer:
Perfuse blood loss from traumatic injury Ectopic pregnancy Excessive & persistent vomiting
and/or diarrhea Large amount of surface burns
QUESTION
Know the signs and symptoms
,Answer:
• Diaphoresis (sweating) Pallor Tachycardia Hypotension Cool/clammy skin Tachypnea Mental
status: confusion/agitation
QUESTION
Anaphylactic shock - as a nurse how do you recognize anaphylactic shock?
Answer:
• Recognition of subtle changes & immediately report to RN Pay close attention to clients
w/asthma or hx of allergies
QUESTION
o Why is anaphylactic shock happening/Causes
Answer:
• Any # of things Blood reaction Food allergy Adverse reaction to insect stings Reaction to
medication
QUESTION
Know the airway response
Answer:
Difficulty breathing, wheezing, chest tightness
QUESTION
signs and symptoms
Answer:
rash flushed skin possible angioedema difficulty breathing wheezing chest tightness hypotension
tachycardia change in mental status possible n/v
, QUESTION
nursing interventions
Answer:
LPN role surveillance. Id those at greater risk (asthma, hx of allergies) recognition of subtle
changes immediately reporti How to treat IV access administration of med (epi, antihistamine
(diphenhydramine), bronchodilators (albuterol)
QUESTION
Lacerations and Wounds - Managing wounds (Seep 348)
Answer:
o How to manage wounds and bleeding O Priority actions for wound care
QUESTION
Epinephrine o what are the indications (why would we use this medication)?
Answer:
Helps maintain BP, counteracts effects of released mediators & slows further response from
immune system l cgt Hypersensitivity reactions anaphylaxis Hypotension (shock) Cardiac arrest
QUESTION
adverse effects for this medication?
Answer:
Acute hypertension Arrhythmias Metabolic acidosis Disorientation Fatigue Hyperventilation
Headache n/v diarrhea
QUESTION
How to use an Epi-Pen