Critical Thinking II: Stage and Type of Shock Mr Benton, age 60…
Question Answered step-by-step Critical Thinking II: Stage and Type of Shock Mr Benton, age 60… Critical Thinking II: Stage and Type of ShockMr Benton, age 60 years, is diagnosed with Myocarditis and in respiratory failure. You are assisting the registered nurse with his care. He is in the ICU but not intubated and upon assessment of breath sounds, you hear crackles. He is very agitated and is given morphine sulfate 10 mg IV push. He is still agitated and is given diazepam (Valium) 5 mg IV push, which is repeated (total of 10 mg Valium given IV push). He becomes lethargic, quiet, and drowsy. You take his vital signs and find that you are unable to hear his blood pressure without the Doppler stethoscope, which increases the sound. Blood pressure is 80/40 mm Hg, the pulse is 150 bpm weak and thready, respirations are 24/minute, and the temperature is 97.6°F (36.4°C).Identify the following- 4. Shock stage: 5. Category of shock: (Re-read the scenario and look to the underlined words that may be key to correct response)6. Initial patient need: (Re-read the scenario and look to the underlined words that may be key to correct response) Critical Thinking III Shock ScenarioMrs Stevens has had gastrointestinal surgery after having a ruptured bowel. Her wound begins to bleed heavily and she is lying in a pool of blood. One area of the wound is gushing blood. She is alert and responsive but signs of shock are present.7. What action should the nurse take first? (2 points) Testing TIP: (What is the keyword in the question? Now re-read the question before answering) 8. Identify other actions the nurse should take. Pressure the bleeding. Chp 129. The physician arrives and begins giving orders. What IV solution should the nurse anticipate will be ordered? Testing Tip: (What fluid type is used in emergencies?)10. What type of shock is Mrs Stevens experiencing? 11. Epinephrine drug therapy is used to treat shock. What if the action of this drug?a. Increases heart rate and contractilityb. Affects the respiratory rate onlyc. Decreases cardiac output and blood pressure. Decreases heart rate and contractility12. The focus of collaborative management of septic shock is aimed ate. Limiting fluids to minimize heart failure riskf. Finding and treating the cause of the infectiong. Discontinuing all IV lines as a possible cause of sepsish. Administer a vasodilator drug to increase blood flow to vital organs13. Your patient is brought to your clinic after being stung by a bee. He is wheezing and has a swollen tongue. What medications should you anticipate administering to the client? (2pt.) Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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