1. Which of the following findings in- B. a falling serum lactate level
dicated that treatment for hypov-
olemic shock is having its B. an elevation in the
intend- ed effect? patient's temperature
C. a reduction in the patient's
A. a narrowing pulse pressure uri-
B. a falling serum lactate
level
C. a decreasing urinary output
D. a declining oral
temperature
2. What electrolyte disorder is
most closely associated with
compul- sive water drinking?
A. hypokalemia
B. hypocalcemia
C. hyponatremia
D. hypophosphatemia
3. Effective treatment for
alcohol withdrawal should
cause:
A. a decrease in the
patient's pulse
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Anaerobic respiration at the cellular level will result treatment is to reduce
in the release of lactic acid and increasing serum
lactate levels. Improving serum lactate levels is
indicative of adequate resuscitation for
hypovolemic shock.
1. A narrowing pulse pressure indicates a
worsening vol- ume loss
2. falling urinary output indicates either a
falling blood pressure or increasing
aldosterone release
3. declining temperature may be indicative of
decreasing cellular metabolism
all of which indicate worsening shock.
C. hyponatremia
Excess water in the body will dilute serum sodium
levels resulting in hyponatremia.
Potassium, calcium and phosphate levels will be
less di- luted with excess body water.
A. a decrease in the patient's pulse
Alcohol withdrawal stimulates autonomic
hyperactivity causing the pulse to increase.
Ettective treatment should therefore reduce the
patient's pulse rate.
1. Alcohol withdrawal causes elevations in a
patient's core body temperature, so a goal of
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nary output rather than elevate the temperature.
D.an increase in the patient's level 2. A goal in treating a patient with alcohol
withdrawal is
of consciousness not to reduce urinary output.
3. Patients in alcohol withdrawal tend to have a
dysphoric mood rather than a reduced level of
consciousness, there- fore an increase in level of
consciousness is not a goal of treatment.
4. Which of the following B. elevated platelet count
laboratory abnormalities is
associated with Thrombocytosis is defined as an elevated platelet
thrombocytosis? count.
A. decreased hematocrit 1. A decreased hematocrit is called anemia
B. elevated platelet count 2. An elevated red blood cell count is called
polycythemia
C. elevated red blood cell
count 3. A decreased white blood cell count is called
leukopenia.
D. decreased white blood
cell count
5. A patient has a serum blood
sug- ar of 62mg/dL and C. skin becomes less sweaty
intravenous dextrose is
Diaphoresis, secondary to sympathetic stimulation,
administered. Which of the
is as- sociated with hypoglycemia, therefore a
following findings indicat-
reduction in
ed that treatment has been effec- sweating is one one indication of successful
treatment.
tive? The patient's: C. skin becomes less sweaty
D. oxygen saturations increase
A. pulse increases
B. level of hunger increases
6. Hydroxyurea (Droxia) is pre-
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scribed for a patient with
sickle 1. Tachycardia associated with hypoglycemia,
therefore not consistent with successful
treatment.
2. Hunger is associated with hypoglycemia,
therefore not consistent with successful
treatment.
3. Changes in oxygen saturation is not
consistent with successful treatment.
C. "Stimulates the production of fetal hemoglobin
which will improve oxygen delivery to your
tissues."
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