The nurse is reviewing the plan of care for a client with hypovolemic shock. Which objectives does the nurse recognize are relevant for this client? Select all that apply.
A) Reducing body temperature
B) Reducing blood pressure
C) Prevent further fluid loss
D) Replace lost fluids
E) Maximize oxygen delivery
C) Prevent further fluid loss
D) Replace lost fluids
E) Maximize oxygen delivery
Explanation: A) There are three primary objectives for managing the client with hypovolemic shock: maximize oxygen delivery by ensuring adequate ventilation and oxygen saturation of the blood and by restoring blood flow, prevent further fluid loss, and replace lost fluids. Regulation of both body temperature and blood pressure are important factors in the management of a client with hypovolemic shock; however, the client with hypovolemic shock generally does not have an elevated body temperature nor does the client have high blood pressure.
B) There are three primary objectives for managing the client with hypovolemic shock: maximize oxygen delivery by ensuring adequate ventilation and oxygen saturation of the blood and by restoring blood flow, prevent further fluid loss, and replace lost fluids. Regulation of both body temperature and blood pressure are important factors in the management of a client with hypovolemic shock; however, the client with hypovolemic shock generally does not have an elevated body temperature nor does the client have high blood pressure.
C) There are three primary objectives for managing the client with hypovolemic shock: maximize oxygen delivery by ensuring adequate ventilation and oxygen saturation of the blood and by restoring blood flow, prevent further fluid loss, and replace lost fluids. Regulation of both body temperature and blood pressure are important factors in the management of a client with hypovolemic shock; however, the client with hypovolemic shock generally does not have an elevated body temperature nor does the client have high blood pressure.
D) There are three primary objectives for managing the client with hypovolemic shock: maximize oxygen delivery by ensuring adequate ventilation and oxygen saturation of the blood and by restoring blood flow, prevent further fluid loss, and replace lost fluids. Regulation of both body temperature and blood pressure are important factors in the management of a client with hypovolemic shock; however, the client with hypovolemic shock generally does not have an elevated body temperature nor does the client have high blood pressure.
E) There are three primary objectives for managing the client with hypovolemic shock: maximize oxygen delivery by ensuring adequate ventilation and oxygen saturation of the blood and by restoring blood flow, prevent further fluid loss, and replace lost fluids. Regulation of both body temperature and blood pressure are important factors in the management of a client with hypovolemic shock; however, the client with hypovolemic shock generally does not have an elevated body temperature nor does the client have high blood pressure.
You might also like to view...
The hospitalized client's uncle, who is a physician, asks the nurse for the client's chart. The uncle is not the physician on the case. The best response for the nurse is to:
a. extend professional courtesy and let him see the chart. b. ask the client for written consent before allowing the relative to see the chart. c. tell the physician where the chart is but not actually give it to the physician. d. call the supervisor.
Why should a nurse researcher want to limit or eliminate extraneous variables in a study?
a. More research questions would be required to account for the extraneous variables. b. Extensive statistical analysis would be required to justify the presence of extraneous variables. c. Extraneous variables compete with the independent variables as explanations of the study's outcome. d. Manipulation of the extraneous variables increases the risk for researcher bias in the study's outcomes.
During the post-operative care of a 76-year old patient, the nurse monitors the patient's intake and output carefully, knowing that the patient is at risk for fluid and electrolyte imbalances primarily because
A. Older adults have an impaired thirst mechanism and need reminding to drink fluids. B. Water accounts for a greater percentage of body weight in the older adult than in younger adults. C. Older adults are more likely than younger adults to lose extracellular fluid during surgical procedures. D. Small losses of fluid are more significant because body fluids account for only about 50% of body weight in older adults.
A 40-year-old is diagnosed with skin cancer. It is explained that the most important risk factor for skin cancer is:
a. amount of direct sun exposure at a young age. b. amount of sun exposure over age 50. c. lifetime amount of sun exposure. d. living in equatorial regions where the sun is most intense.