The nurse arrives for a shift and receives report on the following clients. The nurse knows to monitor which of these clients for hypovolemic shock?
a. A 27-year-old with mononucleosis
b. A 25-year-old with an allergic rash
c. A 22-year-old with pneumonia
d. A 28-year-old with hyperemesis gravidarum
d. A 28-year-old with hyperemesis gravidarum
rationale: Hyperemesis can lead to severe dehydration. Causes of hypovolemic shock include body fluid depletion, hemorrhage from trauma, surgery, GI ulcer, or increased clotting, and dehydration from nausea, vomiting and diarrhea, hyperglycemia, and diuretic therapy.
You might also like to view...
What instructions should the nurse caring for a patient who complains of lower back pain give to prevent back injury?
A) Bend over the object you're lifting. B) Narrow the stance when lifting. C) Push or pull an object using your arms. D) Stand close to the object you're lifting.
The unit is extremely busy when the physician orders that a urinary catheter be inserted in a patient. The patient's assigned nurse is new, has seen the procedure done, but has never done it independently
How should the charge nurse handle this situation? 1. The charge nurse should assist the new nurse with the procedure. 2. The charge nurse should ask the new nurse to try the procedure alone. 3. The charge nurse should assign the task to a different nurse. 4. The charge nurse should do the procedure to save time.
The nurse is concerned that a school-age child receiving intranasal desmopressin acetate (DDAVP) for enuresis is experiencing an adverse effect of the medication. What did the nurse assess in this patient? (Select all that apply.)
A) Thirst B) Nausea C) Flushing D) Itchy skin E) Headache
To assess the palpebral conjunctiva, the nurse should:
A) Inspect the conjunctiva from an oblique angle. B) Evert the eyelids. C) Pull the lower lids down. D) Use ophthalmoscopy.