The nurse is caring for a group of clients in a critical care unit. Which of the following clients does the nurse identify as at risk for hypovolemic shock? Select all that apply
1. Client with ruptured abdominal aortic aneurysm
2. Client with cirrhosis, ascites, and anasarca
3. Client in a multivehicle collision
4. Client sustaining a myocardial infarction
5. Client with systemic lupus erythematosus
1. Client with ruptured abdominal aortic aneurysm
2. Client with cirrhosis, ascites, and anasarca
3. Client in a multivehicle collision
Rationale: Client with ruptured abdominal aortic aneurysm. Clients at risk for hypovolemic shock include those with hemorrhage and GI bleeding. Client with cirrhosis, ascites, and anasarca. Clients at risk for hypovolemic shock include those with hemorrhage, GI bleeding, third spacing, and unreplaced fluid loss. Client in a multivehicle collision. Clients at risk for hypovolemic shock include those with abdominal injury or trauma. Client sustaining a myocardial infarction. A myocardial infarction may lead to cardiogenic, not hypovolemic, shock. Client with systemic lupus erythematosus. A client treated for lupus typically takes immunosuppressing drugs such as corticosteroids, placing the client at risk for septic shock.
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