The critical care nurse is preparing to admit a client with suspected hypovolemic shock to the intensive care unit. Which laboratory tests does the nurse anticipate to be included in the client's plan of care? Select all that apply.
A) Urinalysis
B) Blood glucose level
C) Thyroid stimulating hormone (TSH)
D) Complete blood count (CBC)
E) Serum lactate concentration
B) Blood glucose level
D) Complete blood count (CBC)
E) Serum lactate concentration
Explanation: A) Thyroid stimulating hormone (TSH) and urinalysis are not tests that are typically included in the plan of care for a client with hypovolemic shock.
B) Standard laboratory tests for clients with possible hypovolemic shock include the following: Complete blood count, determination of serum electrolyte concentrations, determination of blood glucose level, arterial blood gas determinations, prothrombin time and partial thromboplastin time to detect a clotting disorder, hemoglobin and hematocrit to determine the severity of blood loss or hemoconcentration due to dehydration, serum lactate concentration, and arterial pH to detect metabolic acidosis.
C) Thyroid stimulating hormone (TSH) and urinalysis are not tests that are typically included in the plan of care for a client with hypovolemic shock.
D) Standard laboratory tests for clients with possible hypovolemic shock include the following: Complete blood count, determination of serum electrolyte concentrations, determination of blood glucose level, arterial blood gas determinations, prothrombin time and partial thromboplastin time to detect a clotting disorder, hemoglobin and hematocrit to determine the severity of blood loss or hemoconcentration due to dehydration, serum lactate concentration, and arterial pH to detect metabolic acidosis. Thyroid stimulating hormone (TSH) and urinalysis are not tests that are typically included in the plan of care for a client with hypovolemic shock.
E) Standard laboratory tests for clients with possible hypovolemic shock include the following: Complete blood count, determination of serum electrolyte concentrations, determination of blood glucose level, arterial blood gas determinations, prothrombin time and partial thromboplastin time to detect a clotting disorder, hemoglobin and hematocrit to determine the severity of blood loss or hemoconcentration due to dehydration, serum lactate concentration, and arterial pH to detect metabolic acidosis.
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