A client has many residual health problems related to compromised circulation following recovery from septic shock
The nurse knows that which of the following complications listed below are a result of being diagnosed with septic shock and therefore should be assessed frequently? Select all that apply.
A)
Profound dyspnea due to acute respiratory distress syndrome
B)
Atelectasis resulting in injury to endothelial lining of pulmonary vessels, which allows fluid/plasma to build up in alveolar spaces
C)
Formation of plaque within vessels supplying blood to the heart causing muscle damage and chest pain
D)
Acute renal failure due to decreased/impaired renal perfusion as a result of low BP
E)
Flushed skin and pounding headache that coincides with each heart beat
Ans:
A, B, D
Feedback:
ARDS, atelectasis, and acute renal failure are all noted consequences of shock that might be, respectively, treated by dialysis, an ostomy, or platelet transfusion. Plaque formation to heart vessels is not directly related to any of the identified consequences of shock. Pounding headache that coincides with each heart beat may occur with migraine headaches.
You might also like to view...
What is the best way to resolve most disagreements?
a. Agreement b. Argument c. Communication d. Withdrawing
The nurse is caring for a patient with a medical diagnosis of hypernatremia. The following prescriptions are written in the client's electronic health record. Which one should the nurse question?
1) Administer an IV of D5W at 125 ml/hr. 2) Strict I&O monitoring. 3) Restrict oral intake to 900 ml every 24 hr. 4) Monitor serum electrolytes every 4 hr.
The clinic nurse listens to a mother and her four year old child as they communicate to each other to determine:
Select all answers that apply: A) The family's understanding of health B) The child's level of language development C) The family's values D) The family's culture
Symptoms that a person suffering a sleep-pattern disturbance may experience include:
a. decreased irritability, pain and fatigue. b. increased irritability, lack of energy and insomnia. c. decreased irritability, lack of energy and insomnia. d. increased irritability, lack of energy and fatigue.