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PCC4 Exam 1 / 100% CORRECT ANSWERS

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A patient has a spinal cord injury at T4. Vital signs include falling blood pressure with bradycardia. The nurse recognizes that the patient is experiencing a. a relative hypervolemia. b. an abs ... olute hypovolemia. c. neurogenic shock from low blood flow. d. neurogenic shock from massive vasodilation. - ANS -d. neurogenic shock from massive vasodilation. A 78-yr-old man has confusion and temperature of 104° F (40° C). He is a diabetic with purulent drainage from his right heel. After an infusion of 3 L of normal saline solution, his assessment findings are BP 84/40 mm Hg; heart rate 110; respiratory rate 42 and shallow; CO 8 L/minute; and PAWP 4 mm Hg. This patient's symptoms are most likely indicative of a. sepsis. b. septic shock. c. multiple organ dysfunction syndrome. d. systemic inflammatory response syndrome. - ANS -b. septic shock. Appropriate treatment modalities for the management of cardiogenic shock include (select all that apply) a. dobutamine to increase myocardial contractility. b. vasopressors to increase systemic vascular resistance. c. circulatory assist devices such as an intraaortic balloon pump. d. corticosteroids to stabilize the cell wall in the infarcted myocardium. e. Trendelenburg positioning to facilitate venous return and increase preload. - ANS -a. dobutamine to increase myocardial contractility. c. circulatory assist devices such as an intraaortic balloon pump. The most accurate assessment parameters for the nurse to use to determine adequate tissue perfusion in the patient with MODS (multiple organ dysfunction syndrome) are [Show More]

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