The nurse working in the emergency department is receiving report. Out of the following group of clients, which would the nurse be concerned about developing hypovolemic shock?
a. A 20-year-old with fibromyalgia
b. A 19-year-old with tricholillomania
c. A 16-year-old in diabetic ketoacidosis
d. A 15-year-old with a urinary tract infection
c. A 16-year-old in diabetic ketoacidosis
rationale: Diabetic ketoacidosis (DKA) causes polyuria which can lead to severe dehydration and hypovolemic shock. The main concern of the nurse will be to treat the underlying cause, and keep the client hydrated. Causes of hypovolemic shock include body fluid depletion, hemorrhage due to trauma, surgery, GI ulcer, and increased clotting, dehydration due to nausea, vomiting and diarrhea, hyperglycemia, and diuretic therapy.
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When participants' behaviors are affected not by the treatment per se but by their knowledge of participating in a study, interpretation of the findings is complicated by the influence of which of the following?
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a. intensive care units b. triage units c. progressive care units d. medical surgical units