A client has septic shock. Which hemodynamic parameters does the nurse correlate with this type of shock? (Select all that apply.)
a. Decreased cardiac output
b. Increased cardiac output
c. Increased blood glucose
d. Decreased blood glucose
e. Increased serum lactate
f. Decreased serum lactate
A, C, E
Septic shock manifests with decreased cardiac output, increased blood glucose, and increased serum lactate. The other parameters do not correlate with septic shock.
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It is suspected that a patient who sustained multiple traumas is developing cardiac tamponade. Which nursing assessment finding would help to support this tentative diagnosis?
1. Flat neck veins despite fluid resuscitation 2. Persistent hypotension 3. Atrial fibrillation per cardiac monitor 4. Bilateral basilar crackles
What is the focus of medical treatment for clients who have postrenal acute renal failure (ARF)?
a. administering IV fluids, albumin, plasma, or blood b. increasing the effective arterial blood volume (EABV) with dobutamine or Inocor c. removing the obstruction d. restoring perfusion to the kidney quickly
The client's serum potassium is 3.0 mEq/L. Which client data does the nurse use to validate the laboratory test?
1. A low urine output. 2. Irregular heart rate. 3. Complaints of thirst. 4. Hyperactive reflexes.
Which of the following is a sign of dehydration in the newborn?
1. Slow, weak pulse 2. Soft, loose stools 3. Light colored, concentrated urine 4. Depressed fontanelles