What condition does the nurse recognize as an early sign of ...

[cagreen833]

What condition does the nurse recognize as an early sign of distributive shock?
 
  a. Hypotension
  b. Skin warm and flushed
  c. Oliguria
  d. Cold, clammy skin

Question 2

What intervention can be taught to the parents of a 3-year-old child with pneumonia who is not hospitalized?
 
  a. Offer the child only cool liquids.
  b. Offer the child her favorite warm liquid drinks.
  c. Use a warm mist humidifier.
  d. Call the physician for a respiratory rate less than 28 breaths/min.

[mirabriestensky]

Answer to Question 1

B
Feedback
A Hypotension is a late sign of all types of shock.
B An early sign of distributive shock is extremities that are warm to the touch. The
child with distributive shock may have hypothermia or hyperthermia.
C Oliguria is a manifestation of hypovolemic shock.
D Cold, clammy skin is a late sign of septic shock, which is a type of distributive
shock.

Answer to Question 2

B
Feedback
A Warm liquids are preferable because they help loosen secretions.
B Offering the child fluids that she likes will facilitate oral intake. Warm liquids
help loosen secretions.
C Cool mist humidifiers are preferred to warm mist. Warm mist is a safety concern
and could cause burns if touched by the child.
D Typically parents are not taught to count their children's respirations and report
abnormalities to the physician. Even if this were the case, a respiratory rate of
less than 28 breaths/min is normal for a 3-year-old child. The expected
respiratory rate for a 3-year-old child is 20 to 30 breaths/min.

[cagreen833]

TYSM

[duy1981999]

Gracias!