Author Question: A nurse is preparing to administer a prescribed adrenergic agent to a client who is in shock. Before ... (Read 49 times)

Anajune7 · **on:** Jul 23, 2018

A nurse is preparing to administer a prescribed adrenergic agent to a client who is in shock. Before administering the drug, the nurse would assess for and document which of the following as a sign of shock?

A) Increased temperature
B) Reddish/pinkish skin
C) Dry, dehydrated skin
D) Changes in consciousness

Question 2

A client is to receive midodrine. Which of the following would the nurse include in the plan of care to ensure that the client doesn't develop supine hypertension?

A) Administer midodrine during the day.
B) Ensure that the client is lying in a supine position.
C) Instruct the client to regularly shift positions.
D) Assist the client when moving out of bed.

Tonny · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: D
Feedback:
Symptoms of shock, such as a change in the level of consciousness, should be recorded by the nurse as part of the preadministration assessment. Cool skin, not elevated temperature, is another symptom of shock. The nurse also needs to record signs of diaphoresis and cyanosis, not reddish/pinkish or dry, dehydrated skin.

Answer to Question 2

Ans: A
Feedback:
The nurse can minimize the risk of supine hypertension by administering the drug during the daytime. The nurse should ensure that the client is in an upright, not supine, position. Instructing the client to regularly shift positions or assisting the client when moving out of bed will not significantly reduce the risk of supine hypertension.