2943561
Pregunta 1
Pregunta
Norepinephrine ______ insulin release, whereas epinephrine ________ insulin release.
Respuesta
-
inhibits; stimulates
-
stimulates; inhibits
Pregunta 2
Pregunta
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...
Respuesta
-
ischemia of the GI tract
-
reduction in blood volume
-
tissue hypoxia
-
hyperglycemia
Pregunta 3
Pregunta
From the following, select the correct clinical manifestations of shock (think compensatory mechanisms).
Respuesta
-
Hypertension
-
Hypotension
-
Tachypnea
-
Bradypnea
-
Tachycardia
-
Bradycardia
-
Anxiety, irritability
-
Decrease in urine output
Pregunta 4
Pregunta
Hypovolemic shock begins to develop when the intravascular volume has decreased by approximately ___
Respuesta
-
15%
-
50%
-
20%
-
5%
Pregunta 5
Pregunta
Which type of shock is most common in children?
Respuesta
-
Hypovolemic
-
Anaphylactic
-
Cardiogenic
-
Obstructive
Pregunta 6
Pregunta
If a patient has tension pneumothorax, which kind of shock are they most likely to develop?
Respuesta
-
Hypovolemic
-
Obstructive
-
Hemorrhagic
-
Septic
Pregunta 7
Pregunta
What is the number one cause of cardiogenic shock?
Respuesta
-
Myocardial infarction
-
Unstable angina
-
Pericarditis
-
Cardiac tamponade
Pregunta 8
Pregunta
A clinical manifestation of neurogenic shock is ________, whereas patients with cardiogenic and obstructive shock may present _________.
Respuesta
-
warm and flushed skin; cyanotic and mottled skin
-
cyanotic and mottled skin; warm and flushed skin
Pregunta 9
Pregunta
Not everyone who experiences anaphylaxis will have anaphylactic shock.
Respuesta
- True
- False
Pregunta 10
Pregunta
Which form of shock is the number one cause of death in ICU settings?
Respuesta
-
Septic
-
Anaphylactic
-
Cardiogenic
-
Hypovolemic
Pregunta 11
Pregunta
Hypotension is the hallmark clinical finding of which stage of shock?
Respuesta
-
Initial
-
Compensatory
-
Progressive
-
Irreversible
Pregunta 12
Pregunta
Which of the following are you most likely going to see in a person experiencing shock?
Respuesta
-
Metabolic acidosis
-
Metabolic alkalosis
-
Respiratory acidosis
-
Respiratory alkalosis
Pregunta 13
Pregunta
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.
Respuesta
-
20; 20
-
40; 20
-
10; 10
-
5; 10
Pregunta 14
Pregunta
A person with neurogenic shock initially exhibits...
Respuesta
-
hypertension
-
tachycardia
-
bradycardia
-
increased central venous pressure
Pregunta 15
Pregunta
How does any type of shock cause oliguria?
Respuesta
-
By stimulating the renin-angiotensin system
-
By decreasing the perfusion to the kidneys
-
By stimulating carotid and baroreceptors
-
By decreasing the PNS stimulation
Pregunta 16
Pregunta
What type of shock develops with overstimulation of the PNS or understimulation of the SNS?
Respuesta
-
Septic
-
Cardiogenic
-
Anaphylactic
-
Vasogenic
Pregunta 17
Pregunta
_________ shock is often more severe than other forms because of its sudden, rapid systemic vasodilation.
Respuesta
-
Septic
-
Hypovolemic
-
Anaphylactic
-
Neurogenic
Pregunta 18
Pregunta
What type of shock results from decreased systemic vascular resistance?
Respuesta
-
Septic
-
Cardiogenic
-
Hypovolemic
-
Heart failure
Pregunta 19
Pregunta
What are the primary goals for treatment of shock?
Respuesta
-
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
Pregunta 20
Pregunta
To determine a client's response to fluid therapy for shock, the nurse should monitor...
Respuesta
-
hematocrit and hemoglobin levels
-
urine output and specific gravity
-
blood pressure and pulse
-
arterial blood gasses and heart rate
Pregunta 21
Pregunta
Which clinical manifestation of septic shock confirms an elevation in immune system response?
Respuesta
-
Tachycardia
-
Increased white blood cell count
-
Low respiratory rate
-
Hypothermia
Pregunta 22
Pregunta
The release of catecholamines by the adrenal glands compensates for which initial effects of hypovolemic shock?
Respuesta
-
Interstitial fluid moves out of the vascular compartment
-
Systemic vascular resistance is decreased
-
Heart rate is increased
-
Water excretion is increased
Pregunta 23
Pregunta
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?
Respuesta
-
Bacteremia
-
Sepsis
-
Septicemia
-
Septic shock
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