Nokea
Which of the following is a condition that may result in distributive shock?
- A. Central line infection
- B. Acute myocardial infarction
- C. Congestive heart failure
- D. Spinal cord injury
- E. Allergic drug reaction
Correct Answer: A,D,E
Rationale: Central line infection, spinal cord injury, and allergic drug reactions can lead to distributive shock by causing vasodilation or maldistribution of blood flow.
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A client is prescribed norepinephrine IV. Which of the following would be appropriate for the nurse to do?
- A. Administer the drug via a gravity infusion.
- B. Dilute the drug with sterile saline.
- C. Continuously monitor the client's blood pressure.
- D. Check the IV insertion site for leakage.
- E. Assess the client's urinary output hourly.
Correct Answer: C,D,E
Rationale: Norepinephrine requires an infusion pump, continuous blood pressure monitoring, IV site checks for leakage, and hourly urinary output assessment to ensure proper administration and effect.
While assessing a client, the nurse observes hives and flushing. The client reports itching and a tightness in the throat. The nurse would identify which of the following nursing diagnoses?
- A. Risk for Allergy Response
- B. Ineffective Tissue Perfusion
- C. Decreased Cardiac Output
- D. Risk for Injury
Correct Answer: A
Rationale: Hives, flushing, itching, and throat tightness indicate an allergic reaction, making Risk for Allergy Response the appropriate nursing diagnosis.
When describing drugs that block or inhibit the sympathetic nervous system, the nurse includes which of the following?
- A. Antiadrenergic drugs
- B. Adrenergic blocking drugs
- C. Adrenergic stimulating drugs
- D. Adrenergic drugs
- E. Sympatholytics
Correct Answer: A,B,E
Rationale: Antiadrenergic drugs, adrenergic blocking drugs, and sympatholytics are terms used to describe medications that inhibit the sympathetic nervous system by blocking its effects.
The nurse is reviewing the medical records of several clients. The nurse integrates knowledge of the drug isoproterenol, understanding that this drug would be contraindicated in a client with which condition?
- A. Digitalis toxicity
- B. Type 2 diabetes
- C. Ventricular arrhythmias
- D. Angina pectoris
- E. Narrow-angle glaucoma
Correct Answer: A,C,D
Rationale: Isoproterenol is contraindicated in conditions like digitalis toxicity, ventricular arrhythmias, and angina pectoris due to its stimulatory effects on the heart, which could exacerbate these conditions.
A client is prescribed dopamine. Which of the following would the nurse include in the client's plan of care?
- A. Administering dopamine only via IV route
- B. Maintaining a fixed rate of administration
- C. Monitoring blood pressure every half hour
- D. Diluting dopamine with sodium bicarbonate
Correct Answer: A
Rationale: Dopamine must be administered intravenously to ensure rapid and controlled delivery, with blood pressure monitored frequently to titrate the dose.