1. A client admitted for acute myocardial

1. A client admitted for acute myocardial infarction (AMI develops cardiogenic shock and has the following vital signs: ‘T 98.3, P 73, R 17, BP 87/51. Which order from the health prescriber should the nurse verify before implementing? A. Call for urine output less than 30 ML per hour for 2 consecutive hours. B. Administer metoprolol 5 mg IV push C.Titrate dopamine and dobutamine to keep MAP >65 D. Record HR and BP every 15 minutes while titrating vasopressors. 2. After falling of a roof, a construction worker sustains a To fracture with spinal cord injury. What findings should the nurse suspect? A. Quadriplegia with gross arm movement and diaphragmatic breathing B. Quadriplegia and loss of respiratory function C.!Paraplegia with intra-costal muscle loss D. Paraplegia with loss of bowel and bladder function 3. The nurse is assessing a trauma patient diagnosed with a pulmonary contusion and ARDS. Which clinical data provides the best indication the patient’s pulmonary status? Currently Selected : D A. Arterial blood gas (ABG) results B. Sputum culture and sensitivity results C. Clear lung sounds after albuterol and atrovent hand help nebulizer D. Bronchoscopy results showing micro-hemorrhages bilaterally 4. With distributive shock, which mechanism results in a decreased cardiac output? A Peripheral vasodilation B. Increased cardiac output C. Decreased alveolar ventilation D. Fluid retention resulting in congestive heart failure 5. You have a patient with hypovolemic shock due to a significant burn. His renal output is 30-35 cc/hour. Which physiological mechanism to compensate for the hypovolemia is reflected by this urinary output? A. Activation of the sympathetic nervous system causing vasodilation of the renal arteries. B. Release of aldosterone which increases serum sodium C.Movement of interstitial fluid to the intravascular space increasing renal blood flow. D. Increased heart rate and myocardial contractility caused by beta adrenergic receptor stimulation. SCIENCE HEALTH SCIENCE NURSING NURS 350

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