TCRN Review - Challenge Questions | Questions with 100% Correct Answers | Updated & Verified

Fluid resuscitation is undertaken for the patient in late, decompensatory hypovolemic shock. Which of the following findings indicates that this treatment is having its intended effect? An elevation in the: A. Pulse pressure B. Urinary output C. Respiratory rate D. Serum lactate levels - B A decrease in urinary output is associated with decompensatory hypovolemic shock, therefore an increase in this parameter is an indication of successful treatment. Pulse pressure, respiratory rate and serum lactate levels all increase with decompensatory shock, therefore an elevation in these levels is not associated with successful treatment. A patient receives 2 units of whole blood during the resuscitation phase of trauma. When documenting intake for the resuscitation, the trauma nurse will record what volume of fluid to account for those two units of while blood? A. 400 mL B. 500 mL C. 800 mL D. 1000 mL - D Which of the following factors is considered the most accurate indicator of successful resuscitation in the patient with hypovolemic shock? A. Base deficit B. Mental status C. Urinary output D. Blood pressure - A