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Acute Care Nurse Practitioner Exam Prep

Category - Acute Care Nurse Practioner Practice Test

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The NP is assessing a newly admitted patient to the intensive care unit. The patient is a 48 year old woman who has been experiencing severe vomiting and diarrhea for 4 days. What signs and symptoms would the present to reflect that her condition has progressed to the complication of shock related to Hypovolemia?
  1. Blood pressure of 148/78, heart rate of 116, afebrile
  2. Changes in mental status, normal vital signs, acute abdominal pain
  3. Blood pressure 98/48, heart rate 120, cold feet and hands
  4. Changes in mental status, blood pressure of 130/76, temperature 99.0
Explanation
Answer: C - The signs and symptoms that the patient has progressed from Hypovolemia to shock include a low blood pressure, tachycardia and cold extremities. Changes in mental status including restlessness and confusion may also occur. Shock is a sign of severe illness and the underlying cause should be treated aggressively.
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