When caring for a postpartum woman experiencing hypovolemic ...

[ssal]

When caring for a postpartum woman experiencing hypovolemic shock, the nurse recognizes that the most objective and least invasive assessment of adequate organ perfusion and oxygenation is
 
  a. Absence of cyanosis in the buccal mucosa
  b. Cool, dry skin
  c. Diminished restlessness
  d. Decreased urinary output

Question 2

Which statement indicates the nurse's lack of understanding about the use of patient-controlled analgesia (PCA) therapy?
 
  a. Children as young as 3 years old can effectively and successfully use a PCA
  pump.
  b. Two registered nurses (RNs) are required to double-check the dosage and
  programmed administration of opioids.
  c. The child should be carefully monitored for signs and symptoms of
  overmedication with opioids.
  d. Naloxone (Narcan) should be readily available.

[epscape]

Answer to Question 1

D
Feedback
A The assessment of the buccal mucosa for cyanosis can be subjective in nature.
B The presence of cool, pale, clammy skin is an indicative finding associated with
hypovolemic shock.
C Hypovolemic shock is associated with lethargy, not restlessness.
D Hemorrhage may result in hypovolemic shock. Shock is an emergency situation
in which the perfusion of body organs may become severely compromised, and
death may occur. The presence of adequate urinary output indicates adequate
tissue perfusion.

Answer to Question 2

A
Feedback
A Children as young as 5 years old have effectively used PCA therapy. Further data
are needed to evaluate the use of PCA therapy in children younger than 5 years
of age.
B Two RNs are needed to check the amount of opioid being administered. Once
the opioid infusion is hung and programmed, a second RN must double-check
the process.
C Children receiving PCA therapy should be monitored closely to ensure effective
pain control and for signs or symptoms of overmedication. Initially, vital signs
should be monitored every 15 to 30 minutes and then every 2 to 4 hours.
Respiratory rate should be assessed every hour.
D Narcan should be readily available to reverse opioid overmedication exhibited by
respiratory distress.

[ssal]

Correct answers!

[epscape]

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