This topic contains a solution. Click here to go to the answer

Author Question: The patient has experienced hypovolemic shock as a result of severe burns. The physician orders a ... (Read 76 times)

sdfghj

  • Hero Member
  • *****
  • Posts: 552
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.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jojobee318

  • Sr. Member
  • ****
  • Posts: 298
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

  • Hero Member
  • *****
  • Posts: 552
Both answers were spot on, thank you once again




 

Did you know?

One way to reduce acid reflux is to lose two or three pounds. Most people lose weight in the belly area first when they increase exercise, meaning that heartburn can be reduced quickly by this method.

Did you know?

Side effects from substance abuse include nausea, dehydration, reduced productivitiy, and dependence. Though these effects usually worsen over time, the constant need for the substance often overcomes rational thinking.

Did you know?

Elderly adults are living longer, and causes of death are shifting. At the same time, autopsy rates are at or near their lowest in history.

Did you know?

Less than one of every three adults with high LDL cholesterol has the condition under control. Only 48.1% with the condition are being treated for it.

Did you know?

It is believed that humans initially contracted crabs from gorillas about 3 million years ago from either sleeping in gorilla nests or eating the apes.

For a complete list of videos, visit our video library