Nokea
A nurse is caring for a client who has recently suffered an acute myocardial infarction. The nurse would closely monitor this client for which of the following that would suggest that the client is developing shock?
- A. Increased blood pressure
- B. Decreased urinary output
- C. Hypoxia
- D. Tachypnea
- E. Bradycardia
Correct Answer: B,C,D
Rationale: Signs of shock include decreased urinary output, hypoxia, and tachypnea due to inadequate tissue perfusion. Increased blood pressure and bradycardia are not typical signs of shock.
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A nurse may be asked to administer adrenergic drugs to clients with which of the following conditions?
- A. Hypovolemic shock
- B. Respiratory distress
- C. Severe hypertension
- D. Allergic reactions
- E. Cardiac arrest
Correct Answer: A,B,D,E
Rationale: Adrenergic drugs are used to treat conditions like hypovolemic shock, respiratory distress, allergic reactions, and cardiac arrest by stimulating the sympathetic nervous system. They are contraindicated in severe hypertension.
A nurse is preparing to administer a prescribed adrenergic agent to a client who is in shock. Before administering the drug, the nurse would assess for and document which of the following as a sign of shock?
- A. Increased temperature
- B. Reddish/pinkish skin
- C. Dry, dehydrated skin
- D. Changes in consciousness
Correct Answer: D
Rationale: Changes in consciousness are a key sign of shock, indicating inadequate cerebral perfusion, and should be documented before administering adrenergic drugs.
Before administering dobutamine to a client, the nurse should assess which of the following?
- A. Blood pressure
- B. Blood glucose
- C. Respiratory rate
- D. Pulse
- E. Level of consciousness
Correct Answer: A,C,D,E
Rationale: Dobutamine administration requires monitoring of blood pressure, respiratory rate, pulse, and level of consciousness to assess cardiovascular and neurological status.
When describing the autonomic nervous system to a group of nursing students, the instructor determines that the teaching was successful when the students identify which body function as being controlled by this system?
- A. Heart rate
- B. Muscle movement
- C. Blood pressure
- D. Glandular secretions
- E. GI activity
Correct Answer: A,C,D,E
Rationale: The autonomic nervous system regulates involuntary functions such as heart rate, blood pressure, glandular secretions, and gastrointestinal (GI) activity. Muscle movement is primarily controlled by the somatic nervous system.
As part of the teaching plan for a client receiving midodrine, the nurse would instruct the client to report which of the following?
- A. Fine tremors
- B. Pounding headache
- C. Bradycardia
- D. Difficulty urinating
- E. Constipation
Correct Answer: B,C,D
Rationale: Midodrine can cause supine hypertension, bradycardia, and urinary difficulties, which should be reported to manage potential adverse effects.