MDC 4 FINAL EXAM WITH OVER
100 QUESTIONS AND CORRECT
ANSWERS FOR A GUARANTEED
PASS
A patient is receiving dobutamine for cardiogenic shock. Which adverse
effects should the nurse monitor for?
Tachyarrhythmias
A patient who sustained head trauma begins to show signs of shock. How
should they be positioned?
Flat with the legs elevated
A client is admitted to the emergency department with a headache,
weakness, and slight confusion. The healthcare provider (HCP) diagnoses
carbon monoxide poisoning. What should the nurse do first?
Administer 100% oxygen
Hypovolemic shock: effective interventions indicated by
Decreasing Serum lactate; K+ declining
An emergency department nurse has just received a client with burn injuries
brought in by ambulance. The paramedics have started a large-bore IV and
,covered the burn in cool towels. The burn is estimated to cover 24% of the
client's body. How should the nurse best address the pathophysiologic
changes resulting from major burns during the initial burn-shock period?
Administer IV fluids (Rapid fluid resuscitation; Parkland formula)
with isotonic crystalloids.
What's going on with the sympathetic stimulation (fight or flight)?
causes vascular smooth muscles to constrict. During states of
stress, the sympathetic stimulation causes the BP/HR to increase
What's going on with the parasympathetic stimulation (rest and digest)?
causes vascular smooth muscles to relax or dilate.
Characteristics include bradycardia and vasodilation, which relaxes
vessels, causing low BP.
What can cause neurogenic shock?
a spinal cord injury, spinal anesthesia or other nervous system
damage.
Signs and symptoms of a stroke
F: Facial droop
A: Arm weakness
S: Speech difficulty
T: Time to call 911
, Define neurogenic shock.
The parasympathetic system takes over and
slows the HR, decreases BP, and causes vasodilation.
Describe an ischemic stroke.
numbness/weakness of the face, arm, or leg, especially on one side of the
body. Aphasia, vision loss (homonymous hemianopsia)
Describe a hemorrhagic stroke.
Patient states "worst headache of my life", decreased LOC, and seizure
A client with cirrhosis and intestinal obstruction is going to surgery in 2
hours. You are getting lab values. Based on the values, you need to know
what your nursing priority will be.
Report the following to the HCP:
Increased INR >1.2/PT >13/PTT >35
Decreased platelets <140,000
Increased ammonia >45 mcg/dL
Increased lactate
Nursing assessment findings in a patient with a tension pneumothorax?
- Pleuritic pain, restlessness, anxiety, SOB
- Tracheal deviation to the unaffected side
- ↓ cardiac output and impaired peripheral circulation
100 QUESTIONS AND CORRECT
ANSWERS FOR A GUARANTEED
PASS
A patient is receiving dobutamine for cardiogenic shock. Which adverse
effects should the nurse monitor for?
Tachyarrhythmias
A patient who sustained head trauma begins to show signs of shock. How
should they be positioned?
Flat with the legs elevated
A client is admitted to the emergency department with a headache,
weakness, and slight confusion. The healthcare provider (HCP) diagnoses
carbon monoxide poisoning. What should the nurse do first?
Administer 100% oxygen
Hypovolemic shock: effective interventions indicated by
Decreasing Serum lactate; K+ declining
An emergency department nurse has just received a client with burn injuries
brought in by ambulance. The paramedics have started a large-bore IV and
,covered the burn in cool towels. The burn is estimated to cover 24% of the
client's body. How should the nurse best address the pathophysiologic
changes resulting from major burns during the initial burn-shock period?
Administer IV fluids (Rapid fluid resuscitation; Parkland formula)
with isotonic crystalloids.
What's going on with the sympathetic stimulation (fight or flight)?
causes vascular smooth muscles to constrict. During states of
stress, the sympathetic stimulation causes the BP/HR to increase
What's going on with the parasympathetic stimulation (rest and digest)?
causes vascular smooth muscles to relax or dilate.
Characteristics include bradycardia and vasodilation, which relaxes
vessels, causing low BP.
What can cause neurogenic shock?
a spinal cord injury, spinal anesthesia or other nervous system
damage.
Signs and symptoms of a stroke
F: Facial droop
A: Arm weakness
S: Speech difficulty
T: Time to call 911
, Define neurogenic shock.
The parasympathetic system takes over and
slows the HR, decreases BP, and causes vasodilation.
Describe an ischemic stroke.
numbness/weakness of the face, arm, or leg, especially on one side of the
body. Aphasia, vision loss (homonymous hemianopsia)
Describe a hemorrhagic stroke.
Patient states "worst headache of my life", decreased LOC, and seizure
A client with cirrhosis and intestinal obstruction is going to surgery in 2
hours. You are getting lab values. Based on the values, you need to know
what your nursing priority will be.
Report the following to the HCP:
Increased INR >1.2/PT >13/PTT >35
Decreased platelets <140,000
Increased ammonia >45 mcg/dL
Increased lactate
Nursing assessment findings in a patient with a tension pneumothorax?
- Pleuritic pain, restlessness, anxiety, SOB
- Tracheal deviation to the unaffected side
- ↓ cardiac output and impaired peripheral circulation
