NUR2755: Final Exam Key Concepts in
Multidimensional Care IV Questions with
Verified Correct Answers
Neurogenic shock is classified as an imbalance of sympathetic and parasympathetic
stimulation. As
parasympathetic activity increases, what assessment finding should the nurse
anticipate?
Bradycardia
What assessment finding indicates a stroke?
Asymmetry of the face.
What is the nurse's priority action for a client with cirrhosis and intestinal obstruction?
Administer PRN order of vitamin K.
What additional assessment finding is expected in a client with pneumothorax?
Decreased chest expansion on involved side.
How can the surgical team prevent hypothermia complications in a frail older adult
client?
-Perform close monitoring of the client's temperature,
-administer warmed intravenous fluids,
-have a thermal warming blanket on hand,
-increase the temperature in the operating room.
What does ventricular tachycardia indicate in a client with electrical burns?
The heart rhythm is directly related to the electrical burn.
, What assessment finding prompts a nurse to call the surgeon post-surgery?
Constant pain and abdominal distention.
Which crystalloid fluid is commonly used to treat hypovolemic shock?
Lactated Ringer's.
What principle guides care planning for a client receiving dopamine?
-The drug should be administered through a central venous line,
-the drug dose should be tapered down once vital signs improve,
-the infusion rate should be titrated for a mean arterial pressure (MAP) of 65.
What condition is likely for a client with a neck injury and low blood pressure?
Neurogenic shock.
The nurse in the ICU is admitting a 57-year-old with a diagnosis of possible septic
shock. The nurse's
assessment reveals that the client has a normal blood pressure, increased heart rate,
decreased bowel
sounds, and cold, clammy skin. The nurse's analysis of these data should lead to what
preliminary conclusion?
The client is in the compensatory stage of shock
What complication should be monitored in a client receiving dobutamine?
Tachyarrhythmias.
What complication of norepinephrine requires physician notification?
Peripheral ischemia.
Multidimensional Care IV Questions with
Verified Correct Answers
Neurogenic shock is classified as an imbalance of sympathetic and parasympathetic
stimulation. As
parasympathetic activity increases, what assessment finding should the nurse
anticipate?
Bradycardia
What assessment finding indicates a stroke?
Asymmetry of the face.
What is the nurse's priority action for a client with cirrhosis and intestinal obstruction?
Administer PRN order of vitamin K.
What additional assessment finding is expected in a client with pneumothorax?
Decreased chest expansion on involved side.
How can the surgical team prevent hypothermia complications in a frail older adult
client?
-Perform close monitoring of the client's temperature,
-administer warmed intravenous fluids,
-have a thermal warming blanket on hand,
-increase the temperature in the operating room.
What does ventricular tachycardia indicate in a client with electrical burns?
The heart rhythm is directly related to the electrical burn.
, What assessment finding prompts a nurse to call the surgeon post-surgery?
Constant pain and abdominal distention.
Which crystalloid fluid is commonly used to treat hypovolemic shock?
Lactated Ringer's.
What principle guides care planning for a client receiving dopamine?
-The drug should be administered through a central venous line,
-the drug dose should be tapered down once vital signs improve,
-the infusion rate should be titrated for a mean arterial pressure (MAP) of 65.
What condition is likely for a client with a neck injury and low blood pressure?
Neurogenic shock.
The nurse in the ICU is admitting a 57-year-old with a diagnosis of possible septic
shock. The nurse's
assessment reveals that the client has a normal blood pressure, increased heart rate,
decreased bowel
sounds, and cold, clammy skin. The nurse's analysis of these data should lead to what
preliminary conclusion?
The client is in the compensatory stage of shock
What complication should be monitored in a client receiving dobutamine?
Tachyarrhythmias.
What complication of norepinephrine requires physician notification?
Peripheral ischemia.
