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Shock

Description

Test to prep for Shock lecture.
Ash Lig
Quiz by Ash Lig, updated more than 1 year ago
Ash Lig
Created by Ash Lig over 9 years ago
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Resource summary

Question 1

Question
Norepinephrine ______ insulin release, whereas epinephrine ________ insulin release.
Answer
  • inhibits; stimulates
  • stimulates; inhibits

Question 2

Question
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...
Answer
  • ischemia of the GI tract
  • reduction in blood volume
  • tissue hypoxia
  • hyperglycemia

Question 3

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

Question 4

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

Question 5

Question
Which type of shock is most common in children?
Answer
  • Hypovolemic
  • Anaphylactic
  • Cardiogenic
  • Obstructive

Question 6

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

Question 7

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

Question 8

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

Question 9

Question
Not everyone who experiences anaphylaxis will have anaphylactic shock.
Answer
  • True
  • False

Question 10

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

Question 11

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

Question 12

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

Question 13

Question
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.
Answer
  • 20; 20
  • 40; 20
  • 10; 10
  • 5; 10

Question 14

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

Question 15

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

Question 16

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

Question 17

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

Question 18

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

Question 19

Question
What are the primary goals for treatment of shock?
Answer
  • 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

Question 20

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

Question 21

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

Question 22

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

Question 23

Question
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?
Answer
  • Bacteremia
  • Sepsis
  • Septicemia
  • Septic shock
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