Shock

Beschreibung

Test to prep for Shock lecture.
Ash Lig
Quiz von Ash Lig, aktualisiert more than 1 year ago
Ash Lig
Erstellt von Ash Lig vor fast 9 Jahre
183
1

Zusammenfassung der Ressource

Frage 1

Frage
Norepinephrine ______ insulin release, whereas epinephrine ________ insulin release.
Antworten
  • inhibits; stimulates
  • stimulates; inhibits

Frage 2

Frage
One of the major causes of death in shock is myocardial deterioration. MDF (myocardial depressant factor) causes significant reduction in cardiac output in response to...
Antworten
  • ischemia of the GI tract
  • reduction in blood volume
  • tissue hypoxia
  • hyperglycemia

Frage 3

Frage
From the following, select the correct clinical manifestations of shock (think compensatory mechanisms).
Antworten
  • Hypertension
  • Hypotension
  • Tachypnea
  • Bradypnea
  • Tachycardia
  • Bradycardia
  • Anxiety, irritability
  • Decrease in urine output

Frage 4

Frage
Hypovolemic shock begins to develop when the intravascular volume has decreased by approximately ___
Antworten
  • 15%
  • 50%
  • 20%
  • 5%

Frage 5

Frage
Which type of shock is most common in children?
Antworten
  • Hypovolemic
  • Anaphylactic
  • Cardiogenic
  • Obstructive

Frage 6

Frage
If a patient has tension pneumothorax, which kind of shock are they most likely to develop?
Antworten
  • Hypovolemic
  • Obstructive
  • Hemorrhagic
  • Septic

Frage 7

Frage
What is the number one cause of cardiogenic shock?
Antworten
  • Myocardial infarction
  • Unstable angina
  • Pericarditis
  • Cardiac tamponade

Frage 8

Frage
A clinical manifestation of neurogenic shock is ________, whereas patients with cardiogenic and obstructive shock may present _________.
Antworten
  • warm and flushed skin; cyanotic and mottled skin
  • cyanotic and mottled skin; warm and flushed skin

Frage 9

Frage
Not everyone who experiences anaphylaxis will have anaphylactic shock.
Antworten
  • True
  • False

Frage 10

Frage
Which form of shock is the number one cause of death in ICU settings?
Antworten
  • Septic
  • Anaphylactic
  • Cardiogenic
  • Hypovolemic

Frage 11

Frage
Hypotension is the hallmark clinical finding of which stage of shock?
Antworten
  • Initial
  • Compensatory
  • Progressive
  • Irreversible

Frage 12

Frage
Which of the following are you most likely going to see in a person experiencing shock?
Antworten
  • Metabolic acidosis
  • Metabolic alkalosis
  • Respiratory acidosis
  • Respiratory alkalosis

Frage 13

Frage
A decrease of systolic BP by more than __ mmHg with an increased heartrate by more than __ BPM indicates actual or relative hypovolemia requiring immediate assessment of need for fluid replacement and CV support.
Antworten
  • 20; 20
  • 40; 20
  • 10; 10
  • 5; 10

Frage 14

Frage
A person with neurogenic shock initially exhibits...
Antworten
  • hypertension
  • tachycardia
  • bradycardia
  • increased central venous pressure

Frage 15

Frage
How does any type of shock cause oliguria?
Antworten
  • By stimulating the renin-angiotensin system
  • By decreasing the perfusion to the kidneys
  • By stimulating carotid and baroreceptors
  • By decreasing the PNS stimulation

Frage 16

Frage
What type of shock develops with overstimulation of the PNS or understimulation of the SNS?
Antworten
  • Septic
  • Cardiogenic
  • Anaphylactic
  • Vasogenic

Frage 17

Frage
_________ shock is often more severe than other forms because of its sudden, rapid systemic vasodilation.
Antworten
  • Septic
  • Hypovolemic
  • Anaphylactic
  • Neurogenic

Frage 18

Frage
What type of shock results from decreased systemic vascular resistance?
Antworten
  • Septic
  • Cardiogenic
  • Hypovolemic
  • Heart failure

Frage 19

Frage
What are the primary goals for treatment of shock?
Antworten
  • Maximizing oxygen delivery and minimizing oxygen demand
  • Maintaining hydration and adequate urinary output
  • Supporting all facets to the cardiovascular system
  • Maintaining all vital signs within normal ranges

Frage 20

Frage
To determine a client's response to fluid therapy for shock, the nurse should monitor...
Antworten
  • hematocrit and hemoglobin levels
  • urine output and specific gravity
  • blood pressure and pulse
  • arterial blood gasses and heart rate

Frage 21

Frage
Which clinical manifestation of septic shock confirms an elevation in immune system response?
Antworten
  • Tachycardia
  • Increased white blood cell count
  • Low respiratory rate
  • Hypothermia

Frage 22

Frage
The release of catecholamines by the adrenal glands compensates for which initial effects of hypovolemic shock?
Antworten
  • Interstitial fluid moves out of the vascular compartment
  • Systemic vascular resistance is decreased
  • Heart rate is increased
  • Water excretion is increased

Frage 23

Frage
Which condition is best defined as a clinical syndrome involving a systemic response to infection, which is manifested by two or more of the systemic inflammatory response syndrome criteria?
Antworten
  • Bacteremia
  • Sepsis
  • Septicemia
  • Septic shock
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