Which of the following patients is most at risk for hypovolemic shock after emergency surgery?
a. 14-year-old adolescent with gastroenteritis
b. 59-year-old patient with pneumonia
c. 12-year-old patient with H1N1 flu
d. 28-year-old patient with a fractured ankle
A
Patients with gastroenteritis have gastrointestinal problems and are at greater risk of complications. Patients with preexisting renal, fluid and electrolyte, gastrointestinal, respiratory, or cardiovascular problems are at greatest risk for operative complications. For example, a patient who is dehydrated from vomiting preoperatively is at greater risk for hypovolemic shock.
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Cardiac rehabilitation is recommended for
A) patients under 50 years of age after an MI. B) women who are recovering after an MI. C) men over 65 years of age after an MI. D) All of the above are correct.
A patient has just died following urosepsis that progressed to septic shock. The patient's spouse says, "I knew this was coming, but I feel so numb and hollow inside." The nurse should know that these statements are characteristic of what?
A) Complicated grief and mourning B) Uncomplicated grief and mourning C) Depression stage of dying D) Acceptance stage of dying
An older man who has hyperuricemia complains of severe pain in the right ankle. Which instructions should the nurse include in patient teaching to enhance the action of the medication the patient takes for his condition? (Select all that apply.)
a. Avoid dehydration by drinking water. b. Take aspirin when joints are red and hot. c. Comply with antihypertensive diuretic regimen. d. Avoid game meat, asparagus, and alcohol.
Because most pregnant women continue their usual activities, trauma remains a common complication during pregnancy
Approximately 30,000 women in the United States experience treatable injuries related to trauma each year. As a result of the physiologic alterations that accompany pregnancy, special considerations for mother and fetus are necessary when trauma occurs. Match the maternal system adaptation in pregnancy with the clinical response to trauma. a. Increased oxygen consumption d. Displacement of abdominal viscera b. Increased heart rate e. Increase in clotting factors c. Decreased gastric motility 46. Decreased placental perfusion in supine position 47. Increased risk of thrombus formation 48. Altered pain referral 49. Increased risk of acidosis 50. Increased risk of aspiration