NUR 445 EXAM #4 UPDATED ACTUAL Questions and CORRECT Answers

NUR 445 EXAM #4 UPDATED ACTUAL
Questions and CORRECT Answers
Pt in MODs-what would you expect to see - CORRECT ANSWER - ● Tachycardia
● Hypotension
● Oliguria
● Decreased LOC
● Tachypnea


MODS labs to expect: (know lab values) - CORRECT ANSWER - ● Increased lactic(
>2.0 we worry about it)
● Creatinine increased (normal range 0.6-1.2)
● Decreased Hct (Normal 38%)
● *BUN would increase (10-20)


Pt in MODS and they know they are going to die and the provider is persuading pt to sign a
DNR, but pt is confused what would you do? - CORRECT ANSWER - ● Ask pt if he
understood
● Call provider


MODS pt activity level? - CORRECT ANSWER - ● Decreased activity level-RESTING



MODS pt, How often should you take vitals? - CORRECT ANSWER - ● every 15
minutes (hemodynamically monitored)


Beginning stages of shock- - CORRECT ANSWER - ● Decreased LOC
● Tachycardia(early sign)
● Tachypnea due to hypoxia

, What leads to shock? Which one needs further explanation? - CORRECT ANSWER -
**Decreased perfusion
Shock leads to MODS


What are the findings in cardiogenic shock? - CORRECT ANSWER - (murmurs have
nothing to do with cardiogenic shock)
● **Crackles in lungs
● Decreased oxygen
● SOB
● CP
● N/V
● Hypotension
● Tachycardia
● Restless
● Dyspnea
● Decreased peripheral pulses


Hypovolemic shock-assessments? - CORRECT ANSWER - ● I and O's
● Daily WT
● VS
● Cap refill
● Neuro assessment-Decreased LOC


Hypovolemic shock (any shock)-first thing to do? - CORRECT ANSWER - assess airway,
give oxygen


Anaphylactic shock medication? - CORRECT ANSWER - Epi (IM)



What labs are within normal? SATA - CORRECT ANSWER - ● Know LABS-SATA