What condition does the nurse recognize as an early sign of distributive shock?
a. Hypotension
b. Skin warm and flushed
c. Oliguria
d. Cold, clammy skin
B
Feedback
A Hypotension is a late sign of all types of shock.
B An early sign of distributive shock is extremities that are warm to the touch. The
child with distributive shock may have hypothermia or hyperthermia.
C Oliguria is a manifestation of hypovolemic shock.
D Cold, clammy skin is a late sign of septic shock, which is a type of distributive
shock.
You might also like to view...
A patient who is recovering from a myocardial infarction (MI) asks a nurse about following a heart-healthy diet. The patient states that she is primarily a visual learner. The nurse determines that the patient will learn best by
1. Chopping up fruits and vegetables to eat. 2. Listening to an audiotape about a heart-healthy diet. 3. Reading a chapter in a book about a heart-healthy diet. 4. Attending a lecture in which the speaker talks about a heart-healthy diet.
An 80-year-old female patient says to the nurse, "I can't hold my water very well so I don't leave the house much." What is an appropriate nursing response?
1. "This is not something you have to live with. Talk with your doctor about this problem." 2. "I understand." 3. "I guess it's hard getting older." 4. "Do you get enjoyment out of watching television?"
The nurse records the client's intake and output for the past 8 hours and notes NGT irrigation with 50 ml normal saline solution every 4 hours and Lactulose syrup 30 ml through the NGT with 30 ml of normal saline solution
Which sum does the nurse obtain from the client's intake over 8 hours? 1. 30 ml 2. 160 ml 3. 110 ml 4. 210 ml
The nurse receives a client from the Angiography Department and prioritizes care to include which of the following? Select all that apply. Standard Text: Select all that apply
1. Place the client supine for several hours. 2. Check the groin for bleeding or hematoma. 3. Elevate the foot of the bed or place pillows under the legs. 4. Apply heat to the calf of the leg. 5. Place a sandbag on the femoral site.