Question

Timby & Smith Introductory Medical Surgical Nursing 11 Edition Homework - NCLEX Questions (Sepsis/Shock) Name: Date: 1. After falling from a 10 ft Ladder, a patient is brought to the ED. The patient is alert reports back pain, and difficulty moving lower extremities. Which additional observation is an indication the patient may be experiencing neurogenic shock? a Cool and pale b. Increased SBP c. Poor skin turgor d. Bradycardia A patient who is in hypovolemic shock has the following clinical signs: Heart rate 120 beats/minute, blood pressure 80/55mmHg, and urine output 20mL./hr. After administering an IV fluid bolus, which of these signs if noted by the healthcare provider is the best indication of improved perfusion? a. Right atrial pressure increases b. SBP increases to 85mmHg c. Urine output increases to 30ml/hr d. HR drops to 100 beats/minute 3. A patient who is in cardiogenic shock has a urine output of 20mL/hr. When further assessing the patient's renal function, what additional findings are anticipated? (Select all that apply). a. Decreased urine specific gravity b. Increased BUN c. Decreased urine sodium d. Decreased serum creatinine 4. A patient is being treated in the intensive care unit for septie shock related to a gram- negative bacterial infection. Which of these are expected findings for this patient? Select all that apply. a. Peripheral edema b. Increased WBC with left shift c. Partial pressure of oxygen -80% d. A MAP of 65% e. Increased pulmonary capillary wedge pressure

Answer 1

1.Bradycardia is the most possible sign of neurogenic shock.

2.Urine outpout increases to 30ml per hour.

3.Decreased serum creatinine.

4. a, peripheral edema

b. Increased wbc with left shift