Cardiogenic Shock: Questions and Answers Graded A+
1. A client is exhibiting signs a, d
and symptoms of early
shock. What is important for RAT: To support the psychosocial integrity of a client in early shock,
the nurse to do to support the nurse would have a familiar person nearby to comfort the
the psychosocial integrity of client. The nurse would also remain with the client and otter
the client? genuine support to reassure the client that everything is being
Select all that apply. done for her. The health care provider would be notified, and
increasing IV and oxygen rates may be needed, but these actions
a. Ask family members to do not support the client's psychosocial integrity.
stay with the client.
b. Call the health care
provider.
c. Increase IV and oxygen
rates.
d. Remain with the client.
e. Reassure the client that
everything is being done for
him or her.
2. The nurse is caring for a c
client in the refractory stage
of cardiogenic shock. Which RAT: When caring for a client in the refractory stage of cardiogenic
intervention does the nurse shock the nurse considers discussing palliative care with the family
consider? and provider. In this irreversible phase, therapy is not ettective in
saving the client's life, even if the cause of shock is corrected and
a. Admission to rehabilita- mean arterial pressure temporarily returns to normal. A discussion
tion hospital for ambulatory on palliative care would be considered. Rehabilitation or returning
retraining home is unlikely. The client with sustained tissue hypoxia is not a
b. Collaboration with home candidate for organ transplantation.
care agency for return to
home
c. Discussion with family and
, Cardiogenic Shock: Questions and Answers Graded A+
provider regarding palliative
care
d. Enrollment in a cardiac
transplantation program
3. The unlicensed assistive per- a
sonnel (UAP) is concerned
about a postoperative client RAT: The supervising nurse will take the vital sign trends into
with blood pressure (BP) of consideration. A BP of 90/60 mm Hg may be normal for this client.
90/60 mm Hg, heart rate Calling the surgeon is not necessary at this point, and increasing
of 80 beats/min, and respi- IV fluids is not indicated. The same equipment must be used when
rations of 22 breaths/min. vital signs are taken postoperatively.
What does the supervising
nurse do?
a. Compare these vital signs
with the last several read-
ings.
b. Request that the surgeon
see the client.
c. Increase the rate of intra-
venous fluids.
d. Reassess vital signs using
different equipment.
4. When caring for an ob- d
tunded client admitted with
shock of unknown origin, RAT: The nurse's first action when caring for an obtunded client
which action does the nurse admitted with shock is to check the client's airway and respiratory
take first? status. When caring for any client, determining airway and respi-
ratory status is the priority. The airway takes priority over obtaining
a. Obtain IV access and hang
1. A client is exhibiting signs a, d
and symptoms of early
shock. What is important for RAT: To support the psychosocial integrity of a client in early shock,
the nurse to do to support the nurse would have a familiar person nearby to comfort the
the psychosocial integrity of client. The nurse would also remain with the client and otter
the client? genuine support to reassure the client that everything is being
Select all that apply. done for her. The health care provider would be notified, and
increasing IV and oxygen rates may be needed, but these actions
a. Ask family members to do not support the client's psychosocial integrity.
stay with the client.
b. Call the health care
provider.
c. Increase IV and oxygen
rates.
d. Remain with the client.
e. Reassure the client that
everything is being done for
him or her.
2. The nurse is caring for a c
client in the refractory stage
of cardiogenic shock. Which RAT: When caring for a client in the refractory stage of cardiogenic
intervention does the nurse shock the nurse considers discussing palliative care with the family
consider? and provider. In this irreversible phase, therapy is not ettective in
saving the client's life, even if the cause of shock is corrected and
a. Admission to rehabilita- mean arterial pressure temporarily returns to normal. A discussion
tion hospital for ambulatory on palliative care would be considered. Rehabilitation or returning
retraining home is unlikely. The client with sustained tissue hypoxia is not a
b. Collaboration with home candidate for organ transplantation.
care agency for return to
home
c. Discussion with family and
, Cardiogenic Shock: Questions and Answers Graded A+
provider regarding palliative
care
d. Enrollment in a cardiac
transplantation program
3. The unlicensed assistive per- a
sonnel (UAP) is concerned
about a postoperative client RAT: The supervising nurse will take the vital sign trends into
with blood pressure (BP) of consideration. A BP of 90/60 mm Hg may be normal for this client.
90/60 mm Hg, heart rate Calling the surgeon is not necessary at this point, and increasing
of 80 beats/min, and respi- IV fluids is not indicated. The same equipment must be used when
rations of 22 breaths/min. vital signs are taken postoperatively.
What does the supervising
nurse do?
a. Compare these vital signs
with the last several read-
ings.
b. Request that the surgeon
see the client.
c. Increase the rate of intra-
venous fluids.
d. Reassess vital signs using
different equipment.
4. When caring for an ob- d
tunded client admitted with
shock of unknown origin, RAT: The nurse's first action when caring for an obtunded client
which action does the nurse admitted with shock is to check the client's airway and respiratory
take first? status. When caring for any client, determining airway and respi-
ratory status is the priority. The airway takes priority over obtaining
a. Obtain IV access and hang
