NSG233 - Exam 1 Questions And Verified Answers
whats the order of tx of hypovolemic shock? 1-stop fluid loss!!
2- place 2 Lg bore IV (18 gauge)
3. admin 0.9%NS (isotonic), whole blood or PRBC.
MUST WARM FLUIDS W/ MASSIVE TRANSFUSION D/T HYPOTHERMIA RISK.
what position should a hypovolemic shock pt be in? modified Trendelenburg - restores
intravascular volume
pt is undergoing hypovolemic shock d/t a hemorrhage, what should rn do to treat underlying
cause? Stop bleed - pressure.
pt is undergoing hypovolemic shock d/t severe NVD, what should rn do to treat underlying
cause? give meds to stop NVD
what types of fluids are administered to a hypovolemic pt? NS
LR
albumin
plasma/ RBC
pt comes in w/ poisoning. whats the most important for RN to maintain? airway
stabilization
whats the s/s of carbon dioxide poisoning? headache
dizzy
confused
palpations
,muscle weakness
intoxication coma
death
whats the priority nursing assessment for a pt w/ carbon dioxide poisoning? access
carboxyhemoglobin levels
what will the SPO2 of a Carbon Dioxide Poision pt look like it will be Nl
whats does Hypothermia put pt's at risk for? hypoxia
acidosis
dysrhythmias
a pt w/ dysrhythmias secondary to hypothermia is having secondary v-fib, what should RN
know? pt must be rewarmed to >90F (32.2c) prior to defibrillation!!!!!
who all is screened in IPV? q pt.
ask "do you feel safe at home?"
whats the pt w/ Compensatory Shock look like? Normal BP
tachycardia
tachypneic
PaCO2<32
cold, clammy
confused/agitated
respiratory alkalosis
, whats Compensatory Shock? first phase of shock,
pt is able to maintain fluid vol, normal BP
whats Progressive Shock? shocks begins to fail to meet metabolic needs
bp starts to lower
whats the pt w/ progressive Shock look like? systolic <90
MAP <65
NEEDS fluid for BP
TACHYYY >150
rapid, shallow RR
crackles
mottled, petechiae
lethargic
metabolic acidosis
whats the pt w/ irreversible Shock look like? REQUIRES MECHANICAL / PHARMACOLOGIC
SUPPORT
erratic
REQUIRES INTUBATION/MECH VENT
jaundice
anuric - requires dialysis
profound acidosis
whats MODS Multiple organ dysfunction syndrome
whats the order of tx of hypovolemic shock? 1-stop fluid loss!!
2- place 2 Lg bore IV (18 gauge)
3. admin 0.9%NS (isotonic), whole blood or PRBC.
MUST WARM FLUIDS W/ MASSIVE TRANSFUSION D/T HYPOTHERMIA RISK.
what position should a hypovolemic shock pt be in? modified Trendelenburg - restores
intravascular volume
pt is undergoing hypovolemic shock d/t a hemorrhage, what should rn do to treat underlying
cause? Stop bleed - pressure.
pt is undergoing hypovolemic shock d/t severe NVD, what should rn do to treat underlying
cause? give meds to stop NVD
what types of fluids are administered to a hypovolemic pt? NS
LR
albumin
plasma/ RBC
pt comes in w/ poisoning. whats the most important for RN to maintain? airway
stabilization
whats the s/s of carbon dioxide poisoning? headache
dizzy
confused
palpations
,muscle weakness
intoxication coma
death
whats the priority nursing assessment for a pt w/ carbon dioxide poisoning? access
carboxyhemoglobin levels
what will the SPO2 of a Carbon Dioxide Poision pt look like it will be Nl
whats does Hypothermia put pt's at risk for? hypoxia
acidosis
dysrhythmias
a pt w/ dysrhythmias secondary to hypothermia is having secondary v-fib, what should RN
know? pt must be rewarmed to >90F (32.2c) prior to defibrillation!!!!!
who all is screened in IPV? q pt.
ask "do you feel safe at home?"
whats the pt w/ Compensatory Shock look like? Normal BP
tachycardia
tachypneic
PaCO2<32
cold, clammy
confused/agitated
respiratory alkalosis
, whats Compensatory Shock? first phase of shock,
pt is able to maintain fluid vol, normal BP
whats Progressive Shock? shocks begins to fail to meet metabolic needs
bp starts to lower
whats the pt w/ progressive Shock look like? systolic <90
MAP <65
NEEDS fluid for BP
TACHYYY >150
rapid, shallow RR
crackles
mottled, petechiae
lethargic
metabolic acidosis
whats the pt w/ irreversible Shock look like? REQUIRES MECHANICAL / PHARMACOLOGIC
SUPPORT
erratic
REQUIRES INTUBATION/MECH VENT
jaundice
anuric - requires dialysis
profound acidosis
whats MODS Multiple organ dysfunction syndrome
