A nurse is caring for a client who has experienced severe bleeding following surgery. Which of the following collections of vital signs would most likely indicate shock?
A client who has been injured in a construction accident is bleeding profusely from a femoral artery laceration. The nurse estimates that the client has lost 700 mL of blood. The client has the following vital signs: HR 98 bpm, BP 100/70 mmHg, RR 20/min. In which class of hypovolemic shock would this client be classified?
The nurse arrives for a shift and receives report on the following clients. The nurse knows to monitor which of these clients for hypovolemic shock?
A nurse is assessing a 37-year-old client prior to administration of packed red blood cells for post-op hemorrhage. The nurse must use a pressure infusion device to rapidly administer the blood products. The nurse notes that the client has a 24-gauge catheter in her antecubital fossa. Which action of the nurse is correct?
Which of the following fluids would be considered a type of crystalloid solution?
A 28-year-old client is brought to the emergency department after a motor vehicle accident and has suffered a fractured pelvis. The client is demonstrating signs of hemorrhagic shock as a result of his injuries. Which of the following types of fluids would be most appropriate to administer initially during the resuscitation period?
A client presents to the ER bleeding profusely from a gunshot wound. The client is in hypovolemic shock and needs a rapid transfusion. What does the nurse anticipate to replace blood volume after starting the IV?
A new nurse is having a difficult time knowing which client should be seen first because they all seem important. The nurse preceptor helps and explains that the client with which of the following should be seen first?
A nurse is assessing a client. Which of the following signs and symptoms would indicate the client is in hypovolemic shock? Select all that apply.
A client presents to the emergency department who was moving a mirror that fell on the client and shattered. The client has a large laceration down the right arm. What is the priority concern for this client?
