Author Question: A client has many residual health problems related to compromised circulation following recovery ... (Read 73 times)

magmichele12 · **on:** Jun 25, 2018

A client has many residual health problems related to compromised circulation following recovery from septic shock.

The nurse knows that which of the following complications listed below are a result of being diagnosed with septic shock and therefore should be assessed frequently? Select all that apply.
A)
Profound dyspnea due to acute respiratory distress syndrome
B)
Atelectasis resulting in injury to endothelial lining of pulmonary vessels, which allows fluid/plasma to build up in alveolar spaces
C)
Formation of plaque within vessels supplying blood to the heart causing muscle damage and chest pain
D)
Acute renal failure due to decreased/impaired renal perfusion as a result of low BP
E)
Flushed skin and pounding headache that coincides with each heart beat

Question 2

Which of the following clients are displaying known risk factors for the development of pulmonary emboli? Select all that apply. A client who is:

A)
immobilized following orthopedic surgery.
B)
experiencing impaired Cl- and Na+ regulation.
C)
taking amiodarone for the treatment of premature ventricular contractions.
D)
a smoker and who takes oral contraceptives.
E)
undergoing radiation therapy for the treatment of breast cancer.

dantucker · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
A, B, D

Feedback:

ARDS, atelectasis, and acute renal failure are all noted consequences of shock that might be, respectively, treated by dialysis, an ostomy, or platelet transfusion. Plaque formation to heart vessels is not directly related to any of the identified consequences of shock. Pounding headache that coincides with each heart beat may occur with migraine headaches.

Answer to Question 2

Ans:
A, D

Feedback:

Postsurgical immobility, smoking, and the use of oral contraceptives are all identified risk factors for the development of pulmonary emboli. Impaired Cl- and Na+ regulation are associated with cystic fibrosis, while amiodarone and radiation therapy are linked to interstitial lung diseases.