Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)

While the nurse is completing the initial physical assessment and history of a patient with abdominal pain, the patient becomes increasingly restless and confused. The nurse obtains a second set of vital signs and notifies the physician. The vital signs: BP 90/58 mmHg, weak peripheral pulses at a rate of 134 beats/minute, temperature 96.6° F (35.9° C) with a cool skin surface, and respirations 16 breaths/minute and shallow. The nurse would know that this is likely development of:

A patient is bleeding and entering hypovolemic shock. The blood pressure is 88/50 mmHg and the HR is 66 beats/minute, which of the following medications would the nurse anticipate would inhibit the body’s ability to compensate in shock?

The nurse would anticipate a patient with which condition to develop hypovolemic shock?

Which of the following is not a sign that a patient is going into shock?

A 22-year-old woman with a recent history of an upper respiratory tract infection is being examined in the emergency department (ED). She complains of hoarseness that has lasted 3 days, along with pain on speaking, nasal congestion, and dysphagia. Assessment findings reveal a purulent nasal discharge, erythematous posterior oropharynx, and a temperature of 101° F (38.3° C). Which condition is indicative of this patient’s assessment findings?

The nurse knows that administering a vasopressor, such as dopamine hydrochloride (Intropin), is least beneficial for a patient in

An 18-year-old man sustained musculoskeletal and abdominal injuries when he crashed into a tree and wasthrown from his motorcycle. Paramedics bring him to the ED with MAST in place. Which statement about MAST is false?

Which of the following assessment findings suggests that hypovolemia may be a cause of shock?

A patient known to be in hypovolemic shock has lost approximately 1,800 mL of fluid. How would this shock be classified?

Which assessment finding indicates that the compensatory response mechanisms for shock are failing?