Deck 22: Drugs for Shock and Anaphylaxis

Question 1

If the client is entering hypovolemic shock,the nurse anticipates which item to be a priority?
1)Maintenance of the airway
2)Maintenance of heart rate
3)Maintenance of brain tissue
4)Maintenance of volume

Answer 1

4

Question 2

A client presents with shock in the hospital,and has a history of a recent infection.What does the nurse suspect that this client is experiencing?
1)Septic shock
2)Hypovolemic shock
3)Cardiogenic shock
4)Neurogenic shock

Answer 2

1

Question 3

The nurse is providing care to a client who is experiencing an allergic reaction.What initial,usual responses of the body to an antigen does the nurse anticipate? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Swelling of the larynx
2)Itching with development of hives
3)Release of histamine and mast cells
4)Inflammation production
5)Antibody production

Answer 3

1,2,3,4,5

Question 4

The nurse is caring for a client who is experiencing shock.Which fluid replacement agents does the nurse anticipate will be used when providing care? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Crystalloids
2)Colloids
3)Water
4)Blood products
5)Oral electrolyte replacement solutions

Question 5

The nurse is preparing to administer a crystalloid IV to a client.Which IV fluid is a crystalloid?
1)Dextran
2)Fresh frozen plasma
3)Hetastarch (Hespan)
4)Lactated Ringer's

Question 6

A client has not responded to IV fluids to raise blood pressure for acute shock.Which medication does the nurse anticipate will be ordered?
1)Whole blood
2)Additional crystalloids
3)Vasodilators
4)Vasopressors

Question 7

The nurse is providing care to a client who is experiencing symptoms of life-threatening shock.Which drug does the nurse anticipate to administer to this client?
1)Corticosteroids
2)Epinephrine
3)Antihistamines
4)Calcium channel blockers

Question 8

The nurse is administering norepinephrine (Levophed)to a client in shock.What is the most appropriate rationale for administering this medication?
1)To produce vasoconstriction
2)To cause bradycardia and reserve heart function
3)To increase urine output
4)To cause the heart's conduction system to work more effectively

Question 9

The nurse is treating a client who has been diagnosed with shock.What is the first step in treating this client?
1)Medications to counteract the sequelae
2)Basic life support
3)Blood and/or blood products
4)Fluid replacement

Question 10

Which vasoconstrictor is usually associated with the treatment of anaphylaxis?
1)Norepinephrine (Levophed)
2)Epinephrine (Adrenalin)
3)Dopamine (Dopastat)
4)Dobutamine (Dobutrex)

Question 11

At low doses,which inotropic medication selectively increases blood flow to the kidneys?
1)Dopamine (Dopastat)
2)Dobutamine (Dobutrex)
3)Digoxin (Lanoxin)
4)Norepinephrine (Levophed)

Question 12

The nurse is preparing to administer IV fluids to her client.The client has been ordered a colloid fluid.Which fluid order should the nurse question?
1)Plasma protein fraction (Plasmanate)
2)Dextran 40 (Gentran 40)
3)Platelets
4)Albumin (Albuminar)

Question 13

The nurse is caring for a client who is experiencing anaphylaxis.The family asks the nurse why the client is having difficulty breathing.The nurse responds based on what knowledge?
1)Reflex tachycardia
2)Compensation for a rapid fall in blood pressure
3)Seizures are likely to occur
4)Bronchoconstriction in response to the allergen

Question 14

What is the earliest sign of shock that the nurse would monitor for during a routine assessment?
1)Complaints of nausea
2)Complaints of thirst
3)Restlessness
4)Pale skin

Question 15

A client is receiving norepinephrine (Levophed).The nurse knows vital signs must be continually monitored to watch for which effect?
1)Hypertension
2)Bradypnea
3)Oliguria
4)Tachycardia

Question 16

The nurse is treating a client who is experiencing cardiac symptoms of shock.Which medication does the nurse anticipate because of its ability to increase the force of myocardial contraction?
1)Crystalloids
2)Colloids
3)Inotropic drugs
4)Vasopressors

Question 17

A client presents with anaphylaxis.What treatment options are likely to be administered to this client? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Oxygen
2)Albuterol (Ventolin)
3)Aspirin (ASA)
4)Diphenhydramine (Benadryl)
5)Acetaminophen (Tylenol)

Question 18

The nurse is performing an assessment on a client who is experiencing shock.What metabolic findings would the nurse expect?
1)Rapid,shallow respiratory effort
2)Restlessness,anxiety,and confusion
3)Low temperature and thirst
4)Tachycardia and hypotension

Question 19

The nurse is preparing to administer dopamine (Dopastat)for a client who is experiencing cardiogenic and hypovolemic shock.Which effects does the nurse anticipate will occur? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Vasoconstriction
2)Increased renal blood flow
3)Hypotension
4)Increased cardiac output
5)Decreased heart rate

Question 20

The nurse is caring for a client who is receiving albumin (Albuminar).The nurse anticipates the need to monitor for an excess of what substance?
1)Protein
2)Sodium
3)Calcium
4)Potassium

Question 21

Which of the following IV fluids is not a crystalloid?
1)Plasma protein fraction (Plasmanate)
2)Lactated Ringer's
3)Normal saline (0.9% sodium chloride)
4)Hypertonic saline (3% sodium chloride)