A client was the driver of a compact automobile that had an impact on the driver's side; he wasn't wearing a seat belt at the time of the crash. He sustained severe abdominal injuries, bilateral fractured femurs, and a 4-cm laceration to the right arm. On arrival to the emergency department, the client was pale, diaphoretic, and talking incoherently. Vital signs on arrival were blood pressure, 50/40 mm Hg; heart rate, 130 beats/minute; respiratory rate, 36 breaths/minutes; and tympanic temperature, 98.2°F (36.8° C). This client has which type of shock?

An adult weighing 194 lb is brought to the Emergency Department after sustaining a thermal injury. Burns are partial and full thickness over 38% of the body surface area. According to the Parkland formula using 4 mL, what would this client's fluid requirements be for the first 24 hours after injury?

You are precepting a new graduate nurse in the ICU. You are collaborating in the care of a patient who is receiving large volumes of crystalloid fluid to treat hypovolemic shock. In light of this intervention, for what sign would you teach the new nurse to monitor the patient?

You are caring for a patient with circumferential burns on his right leg. You note that the capillary refill in his right big toenail is not as brisk as it was 2 hours ago and that the pedal and tibial pulses are only noted by Doppler. What is your best plan of action?

The development of MODS is confirmed in a patient who manifests

A nurse is caring for a client who is experiencing hypovolemic shock. Which of the following blood products should the nurse anticipate administering to this client?

The intensive care nurse is responsible for the care of a patient with shock. What cardiac signs or symptoms would suggest to the nurse that the patient may be experiencing acute organ dysfunction? Select all that apply.

A nurse is caring for a client who is experiencing anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?

A nurse is caring for a client who is at risk for shock. Which of the following findings is the earliest indicator that this complication is developing?

Which client would be most at risk for developing disseminated intravascular coagulation (DIC)?

Your patient is a 54-year-old male who was admitted to the hospital with a severe wound infection in his leg. He is malnourished and in poor health before his arrival. His condition has continued to deteriorate, and septic shock has been diagnosed. His laboratory values reveal decreasing fibrinogen and platelet levels. You are unable to maintain an acceptable MAP with IV fluids. The physician orders an infusion of Dopamine. What is the action of this medication?