Cardiogenic Shock
Which medication may be ordered to improve cardiac output in cardiogenic shock?
Dobutamine
A client with a T5 spinal cord injury develops hypotension. Which finding (vital sign) best supports neurogenic shock?
Bradycardia
A nurse finds a patient unresponsive with no pulse. What is the nurse’s first action?
Begin chest compressions
The LVN is preparing to give digoxin. Which finding requires holding the medication?
Digoxin is held if apical pulse < 60 bpm.
Which patient should the nurse see first?
A. Post-op patient requesting pain medication
B. COPD patient with O₂ sat 89% on 2L
C. Patient with fever of 101.5°F
D. Patient with new-onset confusion
Patient with new-onset confusion
A patient in cardiogenic shock has SpO₂ 84% on high-flow oxygen. What is the nurse’s next action?
Prepare for intubation
A patient stung by a bee has wheezing, lip swelling, and hives. What is the priority intervention?
Administer epinephrine IM
What is the correct rate for adult chest compressions during a code?
100–120/min
Before giving amoxicillin, which question is MOST important?
“Are you allergic to penicillin?”
Which patient is the highest priority?
A. Asthma patient with wheezing
B. CHF patient with mild edema
C. Diabetic patient with BG 180
D. Patient with tracheostomy coughing up mucus
Asthma patient with wheezing
Which vital sign indicates the body is compensating for cardiogenic shock?
Increased heart rate
A client with suspected septic shock has BP 82/44. Which order should the nurse perform first?
Start 30 mL/kg fluid bolus
Which 2 cardiac rhythms are treated with defibrillation?
VF and pulseless VT.
A patient taking furosemide reports muscle cramps. Which lab value should the LVN expect to be abnormal?
Potassium
Who is the priority?
A. Post-op day 2 patient with incision pain
B. Post-op day 1 patient with urinary retention
C. Post-op patient with RR 8 and drowsiness after morphine
D. Patient with nausea after anesthesia
Post-op patient with RR 8 and drowsiness after morphine
Which hemodynamic pattern is consistent with cardiogenic shock?
↓ CO (pump failure)
Which skin finding is expected in early distributive shock?
Warm and flushed
Before defibrillation, the nurse must:
Ensure everyone is clear
Which finding indicates possible hypoglycemia after insulin administration?
sweating
Which patient requires immediate attention?
A. Parkinson’s patient with tremors
B. COPD patient with barrel chest
C. Stroke patient with sudden inability to speak
D. Diabetic patient with neuropathy
Stroke patient with sudden inability to speak
A client in cardiogenic shock has pulmonary edema. Which order should the nurse question?
a fluid bolus
Why are isotonic crystalloids the fluids of choice for septic shock?
They replace intravascular volume
Which medication is first-line for asystole?
Epinephrine
Before giving morphine, the LVN must assess:
Respiratory rate
Which task must the nurse do (not delegate)?
A. Feeding an Alzheimer’s patient
B. Ambulating a stable patient
C. Administering oral medications
D. Teaching a new diabetic how to check glucose
Teaching a new diabetic how to check glucose