Shock Talk
Neurogenic shock increases parasympathetic activity. What heart rate change should the nurse anticipate?
Bradycardia
At the MN state fair, a nurse hears an explosion. What’s the nurse’s first priority?
During a home health visit, what assessment finding would make the nurse suspect stroke?
Facial asymmetry
A client with electrical burns develops ventricular tachycardia. What is the cause?
Heart rhythm disturbance from electrical burn
ICU nurse admits client with BP 85/54, HR 53, skin warm/dry. Which type of shock?
Neurogenic shock
Signs of compensatory shock: cool/pale skin, ↓ urine output, tachypnea. What system is responsible?
Sympathetic system shunting blood to vital organs
Mass casualty: Which client is immediate? Abdominal wound or sucking chest wound?
Sucking chest wound
Client post-hemorrhagic stroke preparing for discharge. What are good things for the patient to monitor at home?
Blood pressure, blood sugars, weight, visual disturbances, etc
Which burn phase prioritizes wound care, nutrition, infection prevention?
Acute or intermediate phase
Client submerged in cold water, temp 89°F (31.7°C). Best initial warming method?
Active internal rewarming with warmed IV fluids
A client with distributive shock on norepinephrine develops dusky fingers. What complication is this?
Peripheral ischemia
A 47-year-old with ↓ LOC, vomiting after head trauma. What triage color?
Red (immediate)
Which complication is associated with a cerebral aneurysm?
Seizures
First systemic event after major burn injury?
Hemodynamic instability
Client exposed to carbon monoxide: confusion + headache. First action?
Administer oxygen and prepare for hyperbaric therapy
Septic shock, MAP 55 despite fluids. What’s the next action?
Start a vasopressor
A 78-year-old with multiple internal injuries, agonal breathing, unconscious, weak pulse. What triage color?
Black (expectant)
Which finding is an absolute contraindication to thrombolytic therapy for acute stroke?
Evidence of hemorrhagic stroke
Post-op day 1: wound pain, redness, drainage. What is the best initial action?
Reinforce dressing and notify surgeon
A client in shock is receiving dopamine with IV fluids. Name the three key principles of administration.
Administer via central line, taper dose once vital signs improve, titrate to maintain MAP of 65.
In hypovolemic shock, besides NS, which crystalloid is commonly used?
Young adult after sexual assault arrives in ED. What is the priority nursing action?
Provide a safe environment and assess immediate needs
ICU client with ventriculostomy now has nuchal rigidity + photophobia. What complication is suspected?
Meningitis
Workplace explosion. Client with 75% TBSA full-thickness burns, conscious. What triage color?
Answer: Black (expectant)
During prolonged Trendelenburg surgery, which action prevents positioning injury?
Use padded shoulder braces