NURS 401 Test 3
1. When a client is in the compensatory stage of shock, which symptom occurs?-
: Correct response:
Tachycardia
Explanation:
The compensatory stage of shock encompasses a normal blood pressure, tachycardia, decreased urinary output,
confusion, and respiratory alkalosis.
2. A client has experienced hypovolemic shock and is being treated with 2
liters of lactated Ringer's solution. It is now most important for the nurse to
assess: Lung sounds
explanation: The nurse must monitor the client during fluid replacement for side effects and complications. The most
common and serious side effects include cardiovascular overload and pulmonary edema, which would be exhibited as
adventitious lung sounds. Other assessments that the nurse would make include skin perfusion, changes in mentation,
and bowel sounds.
3. When teaching a client with newly diagnosed hypertension about the patho-
,physiology of this disease, the nurse states that arterial baroreceptors, which
monitor arterial pressure, are located in the carotid sinus. Which other area
should the nurse mention as a site of arterial baroreceptors?: Aorta
4. The nurse is reporting the current nursing assessment to the physician. Vital
signs: temperature, 97.2° F; pulse, 68 beats/minute, thready; respiration, 28
breaths/minute, blood pressure, 102/78 mm Hg; and pedal pulses, palpable.
The physician asks for the pulse pressure. Which would the nurse report?: 24
Explanation: The pulse pressure is the numeric difference between systolic and diastolic blood pressure. By subtracting
the two numbers, the physician would be told 24. The pulse pressure does not report quality of the pulse.
5. A nurse consults with the health care provider about inotropic agents for
a client in cardiogenic shock. Which medications would improve the client's
contractility? Select all that apply.: correct: dobutamine, dopamine, epinephrine
, explanation: Dobutamine (Dobutrex), dopamine (Intropin), and epinephrine (Adrenalin) are inotropic agents used to
1. When a client is in the compensatory stage of shock, which symptom occurs?-
: Correct response:
Tachycardia
Explanation:
The compensatory stage of shock encompasses a normal blood pressure, tachycardia, decreased urinary output,
confusion, and respiratory alkalosis.
2. A client has experienced hypovolemic shock and is being treated with 2
liters of lactated Ringer's solution. It is now most important for the nurse to
assess: Lung sounds
explanation: The nurse must monitor the client during fluid replacement for side effects and complications. The most
common and serious side effects include cardiovascular overload and pulmonary edema, which would be exhibited as
adventitious lung sounds. Other assessments that the nurse would make include skin perfusion, changes in mentation,
and bowel sounds.
3. When teaching a client with newly diagnosed hypertension about the patho-
,physiology of this disease, the nurse states that arterial baroreceptors, which
monitor arterial pressure, are located in the carotid sinus. Which other area
should the nurse mention as a site of arterial baroreceptors?: Aorta
4. The nurse is reporting the current nursing assessment to the physician. Vital
signs: temperature, 97.2° F; pulse, 68 beats/minute, thready; respiration, 28
breaths/minute, blood pressure, 102/78 mm Hg; and pedal pulses, palpable.
The physician asks for the pulse pressure. Which would the nurse report?: 24
Explanation: The pulse pressure is the numeric difference between systolic and diastolic blood pressure. By subtracting
the two numbers, the physician would be told 24. The pulse pressure does not report quality of the pulse.
5. A nurse consults with the health care provider about inotropic agents for
a client in cardiogenic shock. Which medications would improve the client's
contractility? Select all that apply.: correct: dobutamine, dopamine, epinephrine
, explanation: Dobutamine (Dobutrex), dopamine (Intropin), and epinephrine (Adrenalin) are inotropic agents used to
