Chapter 54 Shock, Systemic Inflammatory Response Syndrome

Chapter 54  Shock, Systemic Inflammatory Response Syndrome

Complete Chapter Questions And Answers
 

Sample Questions

1.
What would the nurse identify as the primary purpose for the administration of intravenous (IV) crystalloid fluids in the patient with hypovolemic shock?
A)
Decrease myocardial oxygen demand.
B)
Maximize oxygen-carrying capability.
C)
Increase capillary permeability.
D)
Restore circulating volume.

2.
The nurse is administering an intravenous antibiotic infusion over 30 minutes for a patient with cellulitis of the left lower extremity. The patient states, “I am itching all over and am having trouble swallowing.” What priority interventions by the nurse are necessary for this patient? Select all that apply.
A)
Stop the antibiotic infusion.
B)
Administer subcutaneous epinephrine.
C)
Administer diphenhydramine (Benadryl) IV.
D)
Switch to amoxicillin by mouth.
E)
Administer Ativan for the patient’s anxiety.

3.
A nursing assessment of a patient with hypovolemic shock is most likely to reveal what assessment findings? Select all that apply.
A)
Tachycardia
B)
Oliguria
C)
Disoriented to time and place
D)
Diuresis
E)
Bradycardia
F)
Hypotension

4.
The nurse is assigned to the care of a patient in the ICU who is in cardiogenic shock. What priority nursing intervention is necessary to conserve myocardial energy and decrease workload of the heart?
A)
Lactated Ringer’s at 150 mL/hr
B)
Morphine sulfate 4 mg IV
C)
Furosemide (Lasix) 80 mg IV
D)
Epinephrine 1:1,000, 0.3 mL IV

5.
The nurse in the ICU is assigned to care for a patient with septic shock. What nursing interventions are necessary to prevent malnutrition and optimize cellular function in this patient?
A)
Administration of crystalloid solutions IV
B)
High calorie, low protein diet
C)
Enteral feedings
D)
Administration of multivitamins in the IV fluid

Answer Key

1.
D
2.
A, B, C
3.
A, B, C, F
4.
B
5.
C