The patient has experienced hypovolemic shock as a result of ...

[sdfghj]

The patient has experienced hypovolemic shock as a result of severe burns. The physician orders a low dose of dopamine (Inotropin). What is the best evaluation by the nurse?
 
  1. Vasoconstriction and increased blood pressure
  2. Stabilization of fluid loss
  3. Urinary output of at least 50 mL/hour
  4. Increased cardiac output

Question 2

The patient is receiving human serum albumin (Albutein) as treatment for shock. What is a priority assessment by the nurse?
 
  1. Auscultate breath sounds for hyper-resonance.
  2. Auscultate for an absence of breath sounds in the lower lobes.
  3. Auscultate breath sounds for inspiratory stridor.
  4. Auscultate breath sounds for crackles.

[jojobee318]

Answer to Question 1

Correct Answer: 3
Rationale: At low doses, dopamine (Inotropin) stimulates dopaminergic receptors, especially in the kidneys, leading to vasodilation and an increased blood flow through the kidneys. Increased cardiac output occurs with high, not low, doses of dopamine (Inotropin) when beta1-adrenergic receptors are stimulated. Vasoconstriction and increased blood pressure occurs with high, not low, doses of dopamine (Inotropin) when alpha-adrenergic receptors are stimulated. Dopamine (Inotropin) does not prevent or stabilize fluid loss.

Answer to Question 2

Correct Answer: 4
Rationale: Because human serum albumin (Albutein) pulls fluid into the vascular space, circulatory overload is a serious complication. The nurse must monitor breath sounds; crackles will be heard with pulmonary congestion. An absence of breath sounds is heard with a pneumothorax, not with pulmonary edema. Hyper-resonance is assessed by percussion, not auscultation. Stridor is auscultated with airway obstruction, not pulmonary edema.

[sdfghj]

Both answers were spot on, thank you once again

[jojobee318]

Great! Please up vote