A nurse is assisting in providing care for a client who has obstructive shock. Which of the following diagnoses should the nurse expect?

Third spacing

Cardiac tamponade

Cardiomyopathy

Ruptured aneurysm

Answer and Explanation

The Correct Answer is B

A. Third spacing involves the abnormal accumulation of fluid in extracellular spaces and is more commonly associated with hypovolemic or distributive shock, not obstructive shock.

B. Cardiac tamponade is a classic cause of obstructive shock, where the accumulation of fluid in the pericardial sac compresses the heart, leading to decreased cardiac output and obstructed blood flow.

C. Cardiomyopathy is a disease of the heart muscle that can lead to heart failure but is typically associated with cardiogenic shock, not obstructive shock.

D. A ruptured aneurysm would most likely cause hypovolemic shock due to blood loss, not obstructive shock.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. The Background section of the SBAR communication tool is where relevant medical history, including a family history of malignant hyperthermia, should be included. This information is critical for the surgical team to be aware of before administering anesthesia.

B. The Recommendation section is for suggesting specific actions or interventions based on the current situation and background.

C. The Situation section describes the immediate issue or reason for the handoff, not past medical history.

D. The Assessment section includes the nurse's evaluation of the client’s current condition, not family history.

A. Low BP and low pulse rate B. High BP and high pulse rate C. Low BP and high pulse rate D. High BP and low pulse rate

Correct Answer is C

Explanation

A. A low blood pressure with a low pulse rate is not typical for hypovolemic shock; a low pulse rate would suggest bradycardia, not commonly seen in hypovolemic shock.

B. High blood pressure and high pulse rate are not characteristic of hypovolemic shock; high blood pressure is not usually associated with this condition.

C. In hypovolemic shock, low blood pressure is accompanied by a high pulse rate as the body attempts to compensate for the reduced blood volume.

D. High blood pressure and low pulse rate are not indicative of hypovolemic shock; this combination is not typical for this type of shock.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assisting in providing care for a client who has obstructive shock. Which of the following diagnoses should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the client's medical record and notices a family history of malignant hyperthermia. In which of the following sections of the SBAR communication tool should the nurse include this information when completing handoff to the surgical team?

Correct Answer is A

Explanation

A nurse is measuring the vital signs of a client he suspects has hypovolemic shock. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is caring for a client who reports feeling anxious about abdominal surgery the next day. Which of the following actions should the nurse plan to take?

A nurse is caring for a client during the immediate postoperative period following thoracic surgery. When administering an opioid analgesic for pain, the nurse should explain that the medication should have which of the following effects?

A nurse and a newly licensed nurse are providing care for a client who has distributive shock. How should the nurse explain the pathophysiology of distributive shock to the newly licensed nurse?

A nurse is caring for several clients on a medical-surgical unit. Which of the following client care situations requires the nurse to complete an incident report?

The nurse is caring for a client on the third day following abdominal surgery and assesses the absence of bowel sounds, abdominal distention, and the client passing no flatus. These findings indicate the client is experiencing which of the following postoperative complications?

A nurse is assisting in providing care for a client who has obstructive shock. Which of the following diagnoses should the nurse expect?

A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?

A nurse is assisting with preoperative teaching for a client. Which of the following outcomes should the nurse expect?