A patient is diagnosed with septic shock and has a decrease in afterload. The nurse realizes that which of the following is occurring with this patient?
1. increase in cardiac output and decrease in blood pressure
2. decrease in cardiac output and increase in blood pressure
3. increase in cardiac output and increase in blood pressure
4. decrease in cardiac output and decrease in blood pressure
1
Rationale: Blood pressure is the product of cardiac output and afterload. When afterload decreases, cardiac output increases and blood pressure decreases. This is what happens to patients diagnosed with septic shock. When afterload increases, cardiac output decreases and blood pressure increases. This is what happens to patients with hypertension. The other two choices do not correlate with the diagnosis of septic shock.
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A client has had surgery to create an ileoanal reservoir surgery. Which instruction would the nurse give to reduce the risk for bowel incontinence?
A) Avoid high-protein food. B) Take frequent brisk walks. C) Perform perineal exercises. D) Perform warm water soaks.
While caring for the patient and his or her family preoperatively the nurse makes times to listen to their fears and to describe the sensations that the patient can expect. What sensations would the nurse describe for the patient and the family?
A) The anesthetic B) Postoperative pain medications C) Preoperative sedation D) Morphine E) Demerol
While looking over the chart of an elderly patient, a nurse noted several findings that are to be expected as a result of long-standing hypertension. One of those findings would be
1. A chest radiograph indicating the possibility of pneumonia. 2. Blood work suggestive of kidney failure. 3. A brain scan ruling out a diagnosis of Alzheimer disease. 4. Blood work ruling out a myocardial infarction, or heart attack.
The outcome that can be predicted for the latest nurse education proposal is that
a. LPN/LVN education will be extended to 2 years. b. LPN/LVN licensure will be abandoned. c. the LPN/LVN will be the lower level for entry into practice. d. the outcome cannot be determined at this time.