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Nursing (290) Shock Practice Questions

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Sandra Watson
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University

Molloy College

Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
Lewis: Medical-Surgical Nursing, 10th Edition

1. A 78-kg patient with septic shock has a pulse rate of 120 beats/min with low central venous
pressure and pulmonary artery wedge pressure. Urine output has been 30 mL/hr for the past 3
hours. Which order by the health care provider should the nurse question?

2. A nurse is caring for a patient whose hemodynamic monitoring indicates a blood pressure of
92/54 mm Hg, a pulse of 64 beats/min, and an elevated pulmonary artery wedge pressure
(PAWP). Which intervention ordered by the health care provider should the nurse question?
a. Elevate head of bed to 30 degrees.
b. Infuse normal saline at 250 mL/hr.
c. Hold nitroprusside if systolic BP is less than 90 mm Hg.
d. Titrate dobutamine to keep systolic BP is greater than 90 mm Hg.

3. A patient with massive trauma and possible spinal cord injury is admitted to the emergency
department (ED). Which assessment finding by the nurse will help confirm a diagnosis of
neurogenic shock?
a. Inspiratory crackles c. Cool, clammy extremities
b. Heart rate 45 beats/min d. Temperature 101.2°F (38.4°C)

4. An older patient with cardiogenic shock is cool and clammy. Hemodynamic monitoring
indicates a high systemic vascular resistance (SVR). Which intervention should the nurse
anticipate?
a. Increase the rate for the dopamine infusion.
b. Decrease the rate for the nitroglycerin infusion.
c. Increase the rate for the sodium nitroprusside infusion.
d. Decrease the rate for the 5% dextrose in normal saline (D5/.9 NS) infusion.

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Nursing (290) Shock Practice Questions

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