Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)

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?

At the time of admission, which assessment finding may be indicative of hypovolemic shock?

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

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 procedure is correct when using MAST to stabilize a patient?

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?

A 5-year-old child who recently underwent adenotonsillectomy is brought to the ED because of profuse bleeding from the nose and mouth. The child is weak, pale, tachycardic, and hypotensive. Which nursing action holds the highest priority?

The nurse would expect a patient in early shock to have

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

The therapeutic effects of MAST on a hypovolemic patient include: