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WorksheetsN3TT3 Shock and MODS
Total questions: 11
Worksheet time: 11mins
The most accurate assessment parameters for the nurse to use to determine adequate tissue perfusion in the client with MODS are which of the following?
. Blood pressure, pulse, and respirations
Breath sounds, blood pressure, and body temperature
Pulse pressure, level of consciousness, and pupillary response
Pulse pressure, level of consciousness, and pupillary response
When caring for a mechanically ventilated patient, the nurse will monitor for which clinical manifestation of MODS?
Increased serum albumin
Decreased respiratory compliance
Increased GI motility
Decreased BUN/Cr ration
The major focus of treatment of shock is:
improvement and preservation of tissue perfusion
Correction of cardiac arrhythmias
fluid administration for correction of electrolytes
blood transfusion to restore systolic blood pressure
Common agents for the treatment of shock include (multiple answers)
Inotropes
Vasodilators
Vasoconstrictors
Anti-convulsants
MODS is a progression of SIRS. It is the failure of (a) or more organs that require intervention as they will not restore homeostasis on their own.
The nurse is caring for an older-adult client who has hypovolemic shock. Which of the following nursing diagnoses is priority?
Acute pain
Impaired tissue integrity
Decreased cardiac output
Ineffective tissue perfusion
In the early stages of SIRS and MODS, blood is shunted away from this, making it highly vulnerable to ischemic injury
Brainstem
Pancreatic ducts
GI mucosa
Pulmonary arteries
In MODS, failure of the coagulation system manifests as (a)
The prognosis for SIRS and MODS are poor. Mortality rates are __________ when 3+ organs are involved
20-30%
50-60%
70-80%
90-95%
Collaborative care for patients with MODS includes the following (multiple answers allowed)
prevention and treatment of infection
maintenance of tissue oxygenation
nutritional and metabolic support
support of failing organs
The (a) system is often the first to show signs of MODS.
