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...
Frage 3
Frage
From the following, select the correct clinical manifestations of shock (think compensatory mechanisms).
Antworten
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Hypertension
-
Hypotension
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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 ___
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 _________.
Frage 9
Frage
Not everyone who experiences anaphylaxis will have anaphylactic shock.
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...
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?
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