The nurse assesses that the patient is in shock based on the findings of:
1. lack of urine output in the last hour, thready pulse, shallow respirations, decreased BP, and patient crying softly.
2. failure of the neurological system, thready pulse, decreased respirations, de-creased BP, and decreased LOC.
3. failure of the renal system with bounding pulse, shallow respirations, decreased BP, 300 mL urine in the last hour, displaying unfounded anger.
4. unable to arouse patient, temperature 99.2ยบ F, pulse 100, respiration 30, BP 120/78.
1
Shock is failure of the circulatory system, producing altered vital signs, as listed.
You might also like to view...
Intramuscular
What will be an ideal response?
Which information by a patient indicates teaching by the nurse was successful for the best definition of health?
a. State of complete well-being b. Absence of disease c. Vital signs within normal range d. Maintenance of a normal weight
The nurse prepares to mix two medications (vial A and B) in one syringe. Place the steps in correct order for how the nurse will perform the procedure.A) Inject a volume of air equal to the volume of medication to be withdrawn into vial A.B) Withdraw the required amount of medication from vial B.C) Draw up a volume of air equal to the volume of medications to be withdrawn from both vials A and B.D) Withdraw the needle from vial A and inject the remaining air into vial B.E) Withdraw the required amount of medication from vial A.
Fill in the blank(s) with the appropriate word(s).
A 52-year-old woman reports having hot flashes and intense mood swings. After a year of having irregular menstrual periods, she has not had a period for 6 months. The primary care NP should diagnose:
a. menopause. b. dysmenorrhea. c. perimenopause. d. postmenopause.