When caring for a patient who was stabbed in the abdomen, the nurse recognizes that 2 liters of fluid given over the last hour have been ineffective when the patient displays which of the following?
1. Heart rate 142 and regular
2. Blood pressure 94/50
3. Urine output of 45 ml for this hour
4. Patient complains of abdominal pain
Heart rate 142 and regular
Rationale: Evidence of successful fluid resuscitation includes heart rate <110, presence and strength of peripheral pulses, restoration of BP to >90 mmHG systolic, urine output of at least 30 ml/hour or 0.4 to 1.0 ml/kg/hour. Presence of abdominal pain is not an outcome criterion for shock.
You might also like to view...
The pain that a person with arterial insufficiency feels on exertion, which is relieved by rest, is ______________ _____________
ANS:
A nurse is conducting a physical examination of a 5-year-old with suspected iron deficiency anemia. How would the nurse evaluate for changes in neurologic functioning?
A) "Please open your mouth; I am going to look inside your cheeks and lips." B) "Do you have any bruises on your feet or shins?" C) "Will you please walk across the room for me?" D) "Let me see the palms of your hands and soles of your feet."
____________________ is the use of telecommunication to send healthcare information between patients and professionals at different locations
Fill in the blank with correct word.
During the years that a woman is more likely to be sexually active, the vagina mucosa is protect-ed from infection by:
a. the presence of autoantibodies. b. an acidic pH. c. low estrogen levels. d. douching.