A patient is diagnosed with a pneumothorax. The nurse realizes that unless this is treated, the patient is at risk for developing which type of shock?
1. obstructive
2. hypovolemic
3. cardiogenic
4. neurogenic
Correct Answer: 1
Obstructive shock is caused by an obstruction in the heart or great vessels that either impedes venous return or prevents effective cardiac pumping action. One cause of obstructive shock is impaired diastolic filling, as seen in a pneumothorax. Hypovolemic shock is seen in patients with a low circulating blood volume. Cardiogenic shock can occur in patients who have experienced a myocardial infarction. Neurogenic shock can occur in patients with spinal cord injuries.
You might also like to view...
Because mental health care is not covered in Australia under the basic health plan, which citizens are more likely to receive mental health care?
a. Wealthy b. Homeless c. Disabled d. Low-income
For many years, an older female patient has taken 1 mg of the benzodiazepine lorazepam at bedtime and with episodes of anxiety. What should the nurse respond to learning of this information?
A) "Have you been diagnosed with generalized anxiety disorder?" B) "Have you considered other methods beyond medication to help you sleep and relieve your anxiety?" C) "This drug can lead to problems with coordination that mimic Parkinson disease, so it's best to minimize its use.". D) "Drugs like this have been shown to be inappropriate and ineffective; it would be useful for you to discuss this fact with your doctor.".
The nurse is teaching a client scheduled for a cardiac catheterization. The nurse should explain that frequent checks will be made following the procedure to assess for:
1. Alterations in urinary output. 2. Bleeding from the artery. 3. Nerve damage to the foot opposite the insertion site. 4. Appropriate bowel function.
The nurse knows when communicating with a suicidal client to do which of the following? Select all that apply
A) Communicate with one another B) Communicate with hospital staff C) Contract with the client D) Work with other families E) Never lecture about the negative consequences of suicide