Med surg chapter 9 shock

A patient is admitted into the emergency department in distributive shock. Which of the following factors can lead to distributive shock?

1. Bacterial infection 2. Dilation of vlood vessels 3. An antigen-antibody reaction

Which descriptions are related to hypervolemic shock? Select all that apply

1. Caused by rapid blood loss, dehydration, hemorrhage, severe diarrhea or vomiting, and excessive perspiration 2. Occurs when the circulating blood volume is in adequate to maintain supply of oxygen and nutrients to tissue

Which medications are commonly used in the treatment of cardiogenic shock? Select all that apply

1. Inotropics 2. vasopressors 3.vasodilators 3.vasoconstrictors

Which intervention reduce risk of SIRS and MODS in a patient with pancreatitis? Select all that apply

1. Maintain strict asepsis with invasive procedures 2. Provide frequent oral care with chlorhexidine gluconate 3. Practice scrupulous hand washing 4. Adminster enteral feedings as ordered

A patient is admitted with a diagnosis of septic shock what collaborative interventions would be anticipated? Select all that apply

1. Vigorous intravenous fluid resuscitation with 0.9% sodium chloride 2. administration of cardiotonic agents such as dopamine, dobutamine or norepinephrine 3. temperature control for either hypothermia or hyperthermia 4.blood cultures from all suspected sources before administration of antibiotics

Which are three types of distributive shock? Select all that apply

1.Anaphylactic 2.septic 3.neurogenic

Which are compensatory mechanisms in shock related to the sympathetic nervous system response? Select all that apply

1.Decrease the blood flow to the kidneys 2.renin angiotension aldosterone system activation 3.increased rate and depth of respiration

Which description is related to distributive shock? Select all that apply

1.Fluid pools independent areas as a body 2. Problems is with excessive dilation of blood vessels

What are some interventions for a patient who is in anaphylactic shock from a bee sting? Select all that apply

1.Prepared for surgical management of the airway 2.Administer diphenhydramine-Benadryl which is an actual receptor antagonist 3. Administer theophylline- aminophylline intravenously for bronchospasms

What is the most common cause of cardiogenic shock?

Acute myocardial infarction

A person has a severe allergic reaction that results in bronchoconstriction and increased capillary permit ability this type of shock is?

Anaphylactic

Which type of shock occur suddenly following exposure to substance for which the patient had already develop antibodies?

Anaphylactic

The nurse is monitoring a patient in shock who has just arrived at a community clinic the nurse knows that improving blood flow and oxygen supply to the vital organs as necessary for this patient why is this a priority and shock treatment?

Brain cells begin to die after four minutes without oxygen

Which type a shop does not have replacement fluid as a priority?

Cardiogenic

Which type of shock are inotropic and antidysrhythmic agent prescribed?

Cardiogenic

A patient in shock has been given blood, crystalloids and osmotic fluids. The nurses assessment reveals: pulse rate 80bpm, bounding, regular; respiratory rate 30 breaths per minute; blood pressure 140/86 mm hg; dyspnea and crackles throughout king fields .Which complications should the nurse suspect?

Circulatory overload

When patients have lost large amounts of plasma proteins, which fluid would the nurse anticipate being ordered to restore blood volume?

Colloids

A patient who sustained burn injuries has new intravenous infusion orders to include Crystalloids why are Crystalloids ordered for this patient?

Crystalloids replace the fluid and electrolytes lost from the burn

Hypermetabolism in shock causes which type of Mel nutrition?

Decrease protein

Anaphylactic shock is a subgroup of which type of shock?

Distributive

A patient with new third-degree burns over 60% of the body is confused and presents with a blood pressure of 79/56 mm HG heart rate of 132 bpm respirations 28 breaths per minute with crackles on auscultation the patient's body temperature is 76°F increment which days of shock is this patient experiencing?

End organ dysfunction

Which assessment fighting with the nurse expect to see in a patient with septic shock that would not be present a patient with hypovolemic shock?

Fever

A patient in shock has a pulse of 120 bpm BP of 80/40 mm HG in respiration of 28 resigns represent?

Fluid volume deficit

A patient had developed peritonitis after a traumatic injury to the abdomen. The nurse knows that this patient is at greater risk for which type of shock?

Hypovolemic

Following an automobile accident on 35-year-old man experience severe hemorrhage this type of shock is classified as?

Hypovolemic

A woman experiences burns over 80% of her body the nurse suspect she has?

Hypovolemic shock

An athlete has been practicing twice a day in the heat and reports being dizzy the patient's vital signs are blood pressure is over 100/72 mm HG Pulse rate of 100 bpm and respiratory rate of 26 breaths per minute the patient does not remember the last avoiding time the skin is cool to touch and pale in color what type of shock is a patient experiencing?

Hypovolemic shock

A patient who has had recent abdominal surgery has a blood pressure of 90/60 mm HG in a pulse of 120 what is the priority treatment goal for this patient?

Improve blood flow and oxygen supply to vital organs

The nurse is taking care of a patient with congestive heart failure resulting in and inadequate cardiac output which problem as a priority for the nurse to address with this patient?

Inadequate peripheral circulation

Assessment findings in the compensatory stage are likely to include?

Increase blood glucose

The nurse is taking care of a patient who has been in an accident is experiencing rapid blood loss which side should the nurse expect to see?

Increase heart rate

A patient in anaphylactic shock has massive edema. What would explain this condition?

Increased capillary permeability

The nurse is concerned about cerebral perfusion in a patient who is in shock. Which assessment provides the best indicator of cerebral perfusion?

Level of consciousness

Which acid base disturbance should the nurse anticipate when a patient is in shock?

Metabolic acidosis

The nurse is taking care of a 24-year-old patient following a spinal cord injury the nurse notices that the patient has developed hypotension and bradycardia this type of shock is?

Neurogenic

A patient arrives at the emergency department via ambulance after a motor vehicle accident the diagnosis is tension pneumothorax the patient's blood pressure was 130/72 MMHG at the accident scene and currently is 70/40 mm HG what type of shock would be suspected?

Obstructive

The purpose of giving blood and fluids to improve cardiac output in a patient with cardiogenic shock is to?

Promote delivery of oxygen to cells

A patient sustains a fall and severes the spinal cord between C5 and C6 and is in neurogenic shock what sign or symptom will be evident that is different from all other forms of shock?

Pulse rate of 52 bpm

Why is atropine prescribed for neurogenic shock?

Raise heart rate

A patient is being treated for hypovolemic shock what is the reason the nurse emphasizes handling the patient gently and coordinating care to allow time for the patient to rest?

Reduce oxygen requirement

A patient in shock is also experiencing pain and agitation why is prompt treatment of the pain and agitation essential for this patient?

Reduces unnecessary oxygen consumption

The stage of shock in which death is eminent is known as?

Refractory

What are the effects of shock on the Nuro endocrine system is?

Release of catecholamines

Which type of shock are anti-microbiology prescribed?

Septic

A patient has just come to the hospital system clinic with hypovolemic shock which position is best to maintain blood go to vital organs for his patient?

Supine with legs elevated 45°

The body of a patient with neurogenic shock is unable to come and say with vasoconstriction because?

The vasomotor center is incapacitated

When are the effects of shock on the respiratory system is?

Tissue hypoxia

Vasopressin is given to patients with septic shock because it is a?

Vasoconstrictor

What do anaphylactic shock, septic shock, and neurogenic shock have in common?

Vasodilation

Which drug is a vasoconstrictor often used in treatment of cardiogenic shock?

Vasopressin

Which assessment data would the nurse expect to find in a patient in the end organ dysfunction stage of shock?

Weak thready pulse