The intensive care nurse is educating the spouse of a client who is being treated for shock. The spouse states, "The doctor said she has shock. What is that?" What is the nurse's best response?
a. "Shock occurs when oxygen to the body's tissues and organs is impaired."
b. "Shock is a serious condition, but it is not a life-threatening emergency."
c. "Shock progresses slowly and can be stopped by the body's normal compensa-tion."
d. "Shock is a condition that affects only specific body organs like the kidneys."
A
Any problem that impairs oxygen delivery to tissues and organs can start the syndrome of shock and lead to a life-threatening emergency. Shock represents the "whole-body response," affecting all organs in a predictable sequence. Compensation mechanisms attempt to maintain homeostasis and deliver necessary oxygen to organs but eventually will fail without reversal of the cause of shock, resulting in death.
You might also like to view...
A nurse is to administer a drug ordered in milligrams. The pharmacy has dispensed the drug in grams. Using the ratio method of drug calculation, the drug dosage obtained seems to be unreasonable
After rechecking the calculations, what should the nurse do next? a. Ask the client the size of the drug usually offered. b. Call the pharmacist for assistance. c. Withhold the drug and notify the client's health care provider. d. Have a colleague check the calculations.
The nurse is seeing a 20-year-old client with a urinary tract infection (UTI) at the women's health clinic. The client says to the nurse, "It seems to me more women get urinary infections than men. Why is this?" What is the best response by the nurse?
a. "Because women are usually more sexually active than men, they are at higher risk for infections." b. "Men have a prostate gland that protects them against urinary tract infections." c. "The female urethra is longer than a male making women more prone to infections." d. "Hormone changes during pregnancy and pressure of the uterus on the bladder can make women more prone to UTIs."
Which intervention would be the most effective if your client who is on magnesium sulfate has a respiratory rate of 10 breaths/min?
a. Give oxygen by mask at 8-10 L/min. b. Administer calcium gluconate via IV pyelogram (IVP). c. Arouse client with tactile stimulation. d. Continually assess pulse oximeter levels.
A patient's heart rate is regular at 68 beats/min. The electrocardiogram (ECG) tracing shows P waves before every QRS complex. What is the likely pacemaker of the heart?
a. SA node b. AV node c. Bundle of His d. Purkinje fibers