A medicalsurgical nurse is aware that pulmonary embolism (PE) and tension pneumothorax are medical diagnoses that have the potential to result in shock. What commonality between these two health problems creates the potential for shock?
A) Both health problems involve an obstruction of normal blood flow.
B) Both problems precipitate massive vasodilation and fluid displacement into the interstitial space.
C) Both health problems involve a profound disruption in the normal process of hemostasis.
D) Both health problems result in hypovolemia.
Question 2
A nursing priority in any care situation is the establishment and maintenance of a patent airway. Which of the following patients would likely require medical and nursing interventions to protect the airway?
A) A patient who has developed septic shock during treatment for severe burns
B) A patient who has gone into anaphylactic shock after inadvertently eating shellfish
C) A patient whose myocardial infarction has resulted in cardiogenic shock
D) A patient who has gone into hypovolemic shock as a result of injury to the femoral artery
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An example of a late entry to the medical record.
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The nurse begins the general survey
Nurse measuring the recumbent height of a toddler