The nurse is caring for a motor vehicle accident client who is unresponsive on arrival to the emergency department. The client has numerous fractures, internal abdominal injuries, and large lacerations on the head and torso
The family arrives and seeks update on the client's condition. A family member asks, "What causes the body to go into shock?" Given the client's condition, which statement is most correct? A) "The client is in shock because the blood volume has decreased in the system."
B) "The client is in shock because the heart is unable to circulate the body fluids."
C) "The client is in shock because your loved one is not responding and brain dead."
D) "The client is in shock because all peripheral blood vessels have massively dilated."
A
Feedback:
Shock is a life-threatening condition that occurs when arterial blood flow and oxygen delivery to tissues and cells are inadequate. Hypovolemic shock, where the volume of extracellular fluid is significantly diminished due to the loss of or reduced blood or plasma, frequently occurs with accidents.
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The newly licensed LPN joins a professional organization for what benefits? (Select all that apply.)
1. Opportunities to maintain current nursing knowledge 2. Most facilities mandate membership before hiring a nurse. 3. Organizations offer a way for the LPN's voice to be heard regarding concerns. 4. They advocate for the LPN in professional matters. 5. It is a requirement for licensure in most states.
The nurse is trying to evaluate understanding among a group of nursing students. The nurse asks, "Which statement is accurate about the effects of lidocaine on the heart?" The students' best answer is that lidocaine
a. speeds up conduction in the atria, the ventricles, and the His-Purkinje system. b. increases automaticity in the ventricles and the His-Purkinje system. c. slows depolarization. d. has no significant impact on the ECG.
Home care is being considered for a young child who is ventilator dependent. Which factor is most important in deciding whether home care is appropriate?
a. Level of parents' education b. Presence of two parents in the home c. Preparation and training of family d. Family's ability to assume all health care costs
When teaching the client about the effects of a miotic medication, the nurse plans to tell the client that the medication will:
1. Reshape the lens to eliminate blurred vision. 2. Interrupt the drainage of aqueous humor from the eye. 3. Dilate the pupil to reduce intraocular pressure. 4. Lower intraocular pressure and improve blood flow to the retina.