Q&A WITH STEP-BY-STEP EXPLANATIONS
FOR GUARANTEED A+ SUCCESS
nursing interventions for a patient with hypovolemic shock -
CORRECT ANSWER - fluid resuscitation, hemodynamic
monitoring- CVP, O2, expect low BP and high HR
S/S of septic shock - CORRECT ANSWER -hypotension,
hyperthermia, bounding pulses, tachypnea, decreased urine
output, organ failure, rapid shallow breaths
priority treatments for hypovolemic shock - CORRECT
ANSWER -fix underlying cause- IV fluids, vasopressors
patho of septic shock - CORRECT ANSWER -sepsis-
vasodilation- inflammatory response- maldistribution of volume-
decreased venous return- decreased CO, decreased tissue
perfusion, SIRS: systemic inflammatory response syndrome
nursing interventions that you would implement in the first few
hours after the identification of sepsis- sepsis bundle -
CORRECT ANSWER -0-3 hours: lactate level, blood
cultures, broad spectrum abx, fluid resuscitation- increased to
keep BP up
<6 hours: vasopressors if MAP <65, SVO2, CVP, fluid challenge
, s/s of tumor lysis syndrome - CORRECT ANSWER -cell
destruction: release of intracellular electrolytes- increased acid,
increased potassium and phosphate, decreased calcium. acute
kidney injury, dysrhythmias, seizures
Kubler-Ross stages of grief - CORRECT ANSWER -1.
Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
criteria that must be met to qualify for hospice care -
CORRECT ANSWER -progressive/irreversible illness, less
than 6 months to live, palliative
palliative care - CORRECT ANSWER -symptom
management, psychosocial care, spiritual support. care is done
concurrently with tx but the focus is on improving quality of life
only
priority assessment for a patient with a head injury that presents
to the ER - CORRECT ANSWER -ABC's! establish airway,
control hemorrhage, prevent shock, assess head and neck
if a patient is in danger of attack or retaliation during their
treatment in the ER, what nursing interventions can be
implemented? - CORRECT ANSWER -provide an alias