1. The nurse is evaluating the effectiveness of fluid resuscitation while treating a patient for hypovolemic shock. Whic

[answerhappygod]

1. The nurse is evaluating the effectiveness of fluid
resuscitation while treating a
patient for hypovolemic shock. Which assessment finding indicates
the treatment
was effective?
a. Urinary output of 20ml/hr
b. Lactate level of 2mmol/L
c. BP 95/55
d. Serum potassium of 4mEq/L
2. A patient has arrived to the emergency room following a
car accident. The EMT
states the patient hit their head on the windshield at 50 mph. He
is conscious and
able to speak to the staff but has lost a significant amount of
blood. Which nursing
intervention is the best indicator of adequate cerebral blood
flow?
a. Assessment of the neurologic status every 1-2 hours
b. Assessment of lung sounds
c. Orient the patient to time, place, and person.
d. Assessment of strength in bilateral arms and legs