A patient who had surgery 3 days ago has a temperature of 98°F (36.6°C), blood pressure 82/72 mm Hg, pulse 120 beats/minute, and respirations 30/minute. Which type of shock should the nurse suspect is occurring in this patient?
a. Septic
b. Neurogenic
c. Cardiogenic
d. Hypovolemic
ANS: A
During the early, or warm, phase of septic shock, blood pressure, urine output, and neck vein size may be normal, but the skin is warm and flushed. Fever is present in the majority of patients, although some may have a subnormal temperature. D. Septic shock progresses to a second phase with signs and symptoms similar to hypovolemic shock: hypotension; oliguria; tachycardia; tachypnea; flat jugular and peripheral veins; and cold, clammy skin. Body temperature may be normal or subnormal. B. C. There is no reason to suspect that this patient is experiencing neurogenic or cardiogenic shock.
You might also like to view...
The nurse, caring for a client with neuropathic pain that is described as dull, aching, or throbbing, would expect which of the following types of medications to be prescribed for the client?
a. Carbamazepine c. Corticosteroid b. Phenytoin d. Amitriptyline
Which action should the nurse take to relax the vastus lateralis muscle before administering an intramuscular injection into the site?
a. Apply a warm compress. b. Massage the site in a circular motion. c. Apply a soothing lotion. d. Have the client assume a sitting position.
Which action by the mentor can help reduce the impact of reality shock on the mentee during the honeymoon phase?
a. Listen as the mentee discusses the ex-citement of starting a new position as a nurse. b. Avoid discussions about the excitement of the mentee's new position as a nurse. c. Ask the mentee not to discuss the new position during work hours. d. Tell the mentee that the excited will not last long.
The gastric emptying time in neonates is how many hours?
a. 1/2 hour c. 3-5 hours b. 1-2 hours d. 6-8 hours