The nurse would be most alert for assessment findings of obstructive shock in which patients? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. A patient who has tumor mass in the vena cava
2. A patient who sustained a gunshot wound to the abdomen
3. A patient who suffered a severe cardiac contusion
4. The patient who sustained several fractured ribs in a fall
5. A patient who has pneumonia caused by a multiple-drug-resistant organism
1,3,4
Rationale 1: Obstruction of the vena cava can slow blood flow into the heart, resulting in obstructive shock.
Rationale 2: This patient is at risk for hypovolemic shock from volume loss.
Rationale 3: This injury could result in cardiac tamponade, which would lead to obstructive shock.
Rationale 4: Rib fragments might damage the lung, causing a tension pneumothorax and possibly obstructive shock.
Rationale 5: This patient is at risk of septic shock than obstructive shock.
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All of the following were identified as components of the nurse–patient relationship by Peplau EXCEPT
A. Professional expertise. B. Socialization skills. C. Patient need. D. Individuals (nurse & patient).
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1. "No, you do not need to be screened for cervical cancer until you are 21 years old." 2. "Yes, all sexually active females should be screened for both cervical cancer and human papilloma virus (HPV)." 3. "Yes, all women under the age of 29 should be screened for both cervical cancer and human papilloma virus (HPV)." 4. "No, but you will need to begin your screenings for both cervical cancer and human papilloma virus (HPV) when you are 18 years old."