Question 1

If the client is entering hypovolemic shock,the nurse anticipates which item to be a priority?

Accepted Answer

In hypovolemic shock, the primary concern is the loss of blood or fluid volume. Maintaining volume is crucial to ensure adequate perfusion and oxygenation of tissues, including vital organs.

Question 2

A client presents with shock in the hospital,and has a history of a recent infection.What does the nurse suspect that this client is experiencing?

Accepted Answer

Septic shock is a severe and potentially fatal condition that occurs as a result of an overwhelming infection, leading to dangerously low blood pressure and abnormalities in cellular metabolism. Given the client's history of a recent infection, septic shock is the most likely diagnosis among the options provided.

Question 3

The nurse is providing care to a client who is experiencing an allergic reaction.What initial,usual responses of the body to an antigen does the nurse anticipate? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

A,B,C,D,E

Question 4

The nurse is caring for a client who is experiencing shock.Which fluid replacement agents does the nurse anticipate will be used when providing care? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Crystalloids, colloids, and blood products are commonly used for fluid replacement in patients experiencing shock. Crystalloids (like saline solutions) help to replace lost fluids and improve circulation. Colloids (such as albumin) can help maintain plasma volume. Blood products are necessary when there's a need to replace blood loss. Water and oral electrolyte solutions are not typically used for immediate fluid replacement in shock due to the urgency of intravenous administration to rapidly restore circulatory volume.

Question 5

The nurse is preparing to administer a crystalloid IV to a client.Which IV fluid is a crystalloid?

Accepted Answer

Lactated Ringer's is a crystalloid solution, which means it is a sterile water solution that contains small molecules that can pass easily through cell membranes. This type of IV fluid is used to replace lost fluids and promote urine output.

Question 6

A client has not responded to IV fluids to raise blood pressure for acute shock.Which medication does the nurse anticipate will be ordered?

Accepted Answer

Vasopressors are medications that constrict blood vessels, increasing blood pressure, and are commonly used when IV fluids alone are insufficient to treat acute shock by raising blood pressure.

Question 7

The nurse is providing care to a client who is experiencing symptoms of life-threatening shock.Which drug does the nurse anticipate to administer to this client?

Accepted Answer

Epinephrine is commonly used in life-threatening situations, including shock, due to its ability to increase heart rate, improve cardiac output, and elevate blood pressure, which are crucial in managing shock conditions.

Question 8

The nurse is administering norepinephrine (Levophed)to a client in shock.What is the most appropriate rationale for administering this medication?

Accepted Answer

Norepinephrine (Levophed) is primarily used in the treatment of shock to produce vasoconstriction, which helps to increase blood pressure and improve blood flow to vital organs.

Question 9

The nurse is treating a client who has been diagnosed with shock.What is the first step in treating this client?

Accepted Answer

Basic life support (BLS) is the first step in treating a client in shock. It ensures that the patient's airway is clear, breathing is adequate, and circulation is maintained, which are critical for survival and stabilizing the patient before further specific treatments are administered.

Question 10

Which vasoconstrictor is usually associated with the treatment of anaphylaxis?

Accepted Answer

Epinephrine (Adrenalin) is the primary and most widely recommended vasoconstrictor for the treatment of anaphylaxis due to its rapid onset of action in reversing the symptoms associated with this severe allergic reaction.

Question 11

At low doses,which inotropic medication selectively increases blood flow to the kidneys?

Accepted Answer

Dopamine at low doses selectively increases blood flow to the kidneys by dilating renal blood vessels, which can help improve kidney function and urine output.

Question 12

The nurse is preparing to administer IV fluids to her client.The client has been ordered a colloid fluid.Which fluid order should the nurse question?

Accepted Answer

Colloid fluids are used to increase the volume of plasma in the blood, and they include options like plasma protein fraction (Plasmanate), Dextran 40 (Gentran 40), and Albumin (Albuminar). Platelets, however, are not considered a colloid fluid; they are a blood product used specifically for clotting deficiencies and not for volume expansion, which is why the nurse should question an order for platelets in the context of administering colloid fluids.

Question 13

The nurse is caring for a client who is experiencing anaphylaxis.The family asks the nurse why the client is having difficulty breathing.The nurse responds based on what knowledge?

Accepted Answer

Anaphylaxis can cause bronchoconstriction as part of the body's allergic reaction to an allergen, leading to difficulty breathing. This is a direct effect of the immune system's response to the allergen.

Question 14

What is the earliest sign of shock that the nurse would monitor for during a routine assessment?

Accepted Answer

Restlessness is often the earliest sign of shock, as it can indicate changes in cerebral oxygenation and perfusion.

Question 15

A client is receiving norepinephrine (Levophed).The nurse knows vital signs must be continually monitored to watch for which effect?

Accepted Answer

Norepinephrine is a potent vasoconstrictor and can cause hypertension, so blood pressure must be closely monitored.

Question 16

The nurse is treating a client who is experiencing cardiac symptoms of shock.Which medication does the nurse anticipate because of its ability to increase the force of myocardial contraction?

Accepted Answer

Inotropic drugs are used to increase the force of myocardial contraction, which can be beneficial in treating cardiac symptoms of shock.

Question 17

A client presents with anaphylaxis.What treatment options are likely to be administered to this client? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

In anaphylaxis treatment, oxygen is administered to support adequate oxygenation, albuterol (Ventolin) can be used to relieve bronchospasm, and diphenhydramine (Benadryl) is given as an antihistamine to counteract the effects of histamine release. Aspirin and acetaminophen are not used in the acute management of anaphylaxis.

Question 18

The nurse is performing an assessment on a client who is experiencing shock.What metabolic findings would the nurse expect?

Accepted Answer

The answer of The nurse is performing an assessment on...

Question 19

The nurse is preparing to administer dopamine (Dopastat)for a client who is experiencing cardiogenic and hypovolemic shock.Which effects does the nurse anticipate will occur? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Dopamine is a sympathomimetic drug that can cause vasoconstriction (A) and increase cardiac output (D) by stimulating beta-1 adrenergic receptors. It also increases renal blood flow (B) at low doses by stimulating dopaminergic receptors.

Question 20

The nurse is caring for a client who is receiving albumin (Albuminar).The nurse anticipates the need to monitor for an excess of what substance?

Accepted Answer

Albumin is a protein, so an excess of albumin would lead to an excess of protein.

Quiz 22: Drugs for Shock and Anaphylaxis

If the client is entering hypovolemic shock,the nurse anticipates which item to be a priority?

A client presents with shock in the hospital,and has a history of a recent infection.What does the nurse suspect that this client is experiencing?

The nurse is providing care to a client who is experiencing an allergic reaction.What initial,usual responses of the body to an antigen does the nurse anticipate? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

The nurse is caring for a client who is experiencing shock.Which fluid replacement agents does the nurse anticipate will be used when providing care? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

The nurse is preparing to administer a crystalloid IV to a client.Which IV fluid is a crystalloid?

A client has not responded to IV fluids to raise blood pressure for acute shock.Which medication does the nurse anticipate will be ordered?

The nurse is providing care to a client who is experiencing symptoms of life-threatening shock.Which drug does the nurse anticipate to administer to this client?

The nurse is administering norepinephrine (Levophed) to a client in shock.What is the most appropriate rationale for administering this medication?

The nurse is treating a client who has been diagnosed with shock.What is the first step in treating this client?

Which vasoconstrictor is usually associated with the treatment of anaphylaxis?

At low doses,which inotropic medication selectively increases blood flow to the kidneys?

The nurse is preparing to administer IV fluids to her client.The client has been ordered a colloid fluid.Which fluid order should the nurse question?

The nurse is caring for a client who is experiencing anaphylaxis.The family asks the nurse why the client is having difficulty breathing.The nurse responds based on what knowledge?

What is the earliest sign of shock that the nurse would monitor for during a routine assessment?

A client is receiving norepinephrine (Levophed) .The nurse knows vital signs must be continually monitored to watch for which effect?

The nurse is treating a client who is experiencing cardiac symptoms of shock.Which medication does the nurse anticipate because of its ability to increase the force of myocardial contraction?

A client presents with anaphylaxis.What treatment options are likely to be administered to this client? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

The nurse is performing an assessment on a client who is experiencing shock.What metabolic findings would the nurse expect?

The nurse is preparing to administer dopamine (Dopastat) for a client who is experiencing cardiogenic and hypovolemic shock.Which effects does the nurse anticipate will occur? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

The nurse is caring for a client who is receiving albumin (Albuminar) .The nurse anticipates the need to monitor for an excess of what substance?