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NUR 146 Greenville Technical College -SHOCK - S1 Questions | 2026/2027 | Answers Correct | With Complete Solutions

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NUR 146 Greenville Technical College -SHOCK - S1 Questions | 2026/2027 | Answers Correct | With Complete Solutions

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NUR 146 Greenville Technical College -SHOCK - S1
Questions | 2026/2027 | Answers Correct | With Complete
Solutions

(BNP) or basic metabolic panel includes: Correct Answers
serum electrolytes, blood urea nitrogen [BUN], creatinine)

A 50-yr-old woman with a suspected brain tumor is scheduled
for a CT scan with contrast media. The nurse notifies the
physician that the patient reported an allergy to shellfish. Which
response by the physician should the nurse question? Correct
Answers Infuse IV diphenhydramine before the procedure.
- An individual with an allergy to shellfish is at an increased risk
to develop anaphylactic shock if contrast media is injected for a
CT scan. To prevent anaphylactic shock, the nurse should
always confirm the patient's allergies before diagnostic
procedures (e.g., CT scan with contrast media). Appropriate
interventions may include cancelling the procedure, completing
the procedure without contrast media, or premedication with
diphenhydramine or hydrocortisone. IV fluids may be given to
promote renal clearance of the contrast media and prevent renal
toxicity and acute kidney injury. The use of an antianxiety agent
such as lorazepam would not be effective in preventing an
allergic reaction to the contrast media.

Premedicate with hydrocortisone sodium succinate (Solu-
Cortef).
- An individual with an allergy to shellfish is at an increased risk
to develop anaphylactic shock if contrast media is injected for a
CT scan. To prevent anaphylactic shock, the nurse should
always confirm the patient's allergies before diagnostic

,procedures (e.g., CT scan with contrast media). Appropriate
interventions may include cancelling the procedure, completing
the procedure without contrast media, or premedication with
diphenhydramine or hydrocortisone. IV fluids may be given to
promote renal clearance of the contrast media and prevent renal
toxicity and acute kidney injury. The use of an antianxiety agent
such as lorazepam would not be effective in preventing an
allergic reaction to the contrast media.

Complete the CT scan without the use of contrast media.
- An individual with an allergy to shellfish is at an increased risk
to develop anaphylactic shock if contrast media is injected for a
CT scan. To prevent anaphylactic shock, the nurse should
always confirm the patient's allergies befor

A client brought to the intensive care unit (ICU) after a fall on
anticoagulants is suspected of having internal bleeding. Which
of the following clinical manifestations would alert the nurse to
early hypovolemic shock onset?

Slowed respiratory rate

Lack of urinary output

Increased heart rate

Necrotic extermities Correct Answers Slowed respiratory rate

Lack of urinary output

(CORRECT) Increased heart rate

, Necrotic extermities

A client is admitted to the medical surgical unit with
dehydration from excessive vomiting secondary to acute
pancreatitis. The nurse recognizes which clinical
manifestation(s) as early sign(s) of hypovolemic shock? (Select
all that apply.)

Elevated heart rate

Decreasing blood pressure

Decreased respiratory rate

Decreased pulse rate

Decreased body temperature Correct Answers (CORRECT)
Elevated heart rate

(CORRECT) Decreasing blood pressure

Decreased respiratory rate

Decreased pulse rate

Decreased body temperature

A client who is 30 minutes post op laparoscopic appendectomy
has the following vital signs: blood pressure, 70/40; heart rate,
140 beats/min; respiratory rate, 25/min. The client is pale in

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