N3TT3 Shock and MODS

Front

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

Back

Pulse pressure, level of consciousness, and pupillary response

Front

When caring for a mechanically ventilated patient, the nurse will monitor for which clinical manifestation of MODS? Options: Increased serum albumin, Decreased respiratory compliance, Increased GI motility, Decreased BUN/Cr ratio

Back

Decreased respiratory compliance

Front

The major focus of treatment of shock is:

Back

improvement and preservation of tissue perfusion

Front

MODS is a progression of SIRS. It is the failure of ______ or more organs that require intervention as they will not restore homeostasis on their own.

Back

two, 2

Front

The nurse is caring for an older-adult client who has hypovolemic shock. Which nursing diagnosis is priority? Options: Acute pain, Impaired tissue integrity, Decreased cardiac output, Ineffective tissue perfusion

Back

Ineffective tissue perfusion

Front

In the early stages of SIRS and MODS, blood is shunted away from this, making it highly vulnerable to ischemic injury

Back

GI mucosa

Front

In MODS, failure of the coagulation system manifests as ____________

Back

DIC, disseminated intravascular coagulation

Front

The prognosis for SIRS and MODS are poor. Mortality rates are __________ when 3+ organs are involved

Back

70-80%

Front

The ______________ system is often the first to show signs of MODS.

Back

respiratory