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Test Bank for Medical-Surgical Nursing 8th Edition Shock, Sepsis, and Multiple-Organ Dysfunction Syndrome Urden: Critical Care Nursing 8th Edition Questions and Answers (A+ GRADED 100% VERIFIED)$7.79
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Test Bank for Medical-Surgical Nursing 8th Edition Shock, Sepsis, and Multiple-Organ Dysfunction Syndrome Urden: Critical Care Nursing 8th Edition Questions and Answers (A+ GRADED 100% VERIFIED)
Test Bank for Medical-Surgical Nursing 8th Edition Shock, Sepsis, and Multiple-Organ Dysfunction Syndrome Urden: Critical Care Nursing 8th Edition Questions and Answers (A+ GRADED 100% VERIFIED)
Chapter
34:
Shock,
Sepsis,
and
Multiple-Organ
Dysfunction
Syndrome
Urden:
Critical
Care
Nursing,
8th
Edition
1.
A
nurse
is
discussing
the
concept
of
shock
with
a
new
graduate
nurse.
Which
statement
indicates
the
new
graduate
nurse
understood
the
information?
a.
Shock
is
a
physiologic
state
resulting
in
hypotension
and
tachycardia.
b.
Shock
is
an
acute,
widespread
process
of
inadequate
tissue
perfusion.
c.
Shock
is
a
degenerative
condition
leading
to
organ
failure
and
death.
d.
Shock
is
a
condition
occurring
with
hypovolemia
that
results
in
hypotension.
-
ANS
ANS:
B
Shock
is
an
acute,
widespread
process
of
impaired
tissue
perfusion
that
results
in
cellular ,
metabolic,
and
hemodynamic
alterations.
It
is
a
complex
pathophysiologic
process
that
often
results
in
multiple-organ
dysfunction
syndrome
and
death.
All
types
of
shock
eventually
result
in
ineffective
tissue
perfusion
and
the
development
of
acute
circulatory
failure.
PTS:
1
DIF:
Cognitive
Level:
Understanding
REF:
p.
801
OBJ:
Nursing
Process
Step:
Diagnosis
TOP:
Shock
MSC:
NCLEX:
Physiologic
Integrity
2.
The
nurse
is
caring
for
a
patient
in
hypovolemic
shock
secondary
to
cirrhosis
of
the
liver.
The
nurse
understands
that
this
type
of
shock
results
from
shifting
of
fluid
into
the
abdominal
cavity .
What
is
the
resulting
hypovolemia
called?
a.
Absolute
hypovolemia
b.
Distributive
hypovolemia
c.
Relative
hypovolemia
d.
Compensatory
hypovolemia
-
ANS
ANS:
A
Absolute
hypovolemia
occurs
when
there
is
a
loss
of
fluid
from
the
intravascular
space.
This
can
result
from
an
external
loss
of
fluid
from
the
body
or
from
internal
shifting
of
fluid
from
the
intravascular
space
to
the
extravascular
space.
Fluid
shifts
can
result
from
a
loss
of
intravascular
integrity ,
increased
capillary
membrane
permeability ,
or
decreased
colloidal
osmotic
pressure.
Relative
hypovolemia
occurs
when
vasodilation
produces
an
increase
in
vascular
capacitance
relative
to
circulating
volume.
PTS:
1
DIF:
Cognitive
Level:
Applying
REF:
p.
805 OBJ:
Nursing
Process
Step:
Diagnosis
TOP:
Shock
MSC:
NCLEX:
Physiologic
Integrity
3.
A
patient
has
been
admitted
with
hypovolemic
shock
due
to
traumatic
blood
loss.
Which
nursing
measure
can
best
facilitate
the
administration
of
large
volumes
of
fluid?
a.
Inserting
a
large-diameter
peripheral
intravenous
catheter
b.
Positioning
the
patient
in
the
Trendelenburg
position
c.
Encouraging
the
patient
to
drink
at
least
240
mL
of
fluid
each
hour
d.
Administering
intravenous
fluids
under
pressure
with
a
pressure
bag
-
ANS
ANS:
A
Measures
to
facilitate
the
administration
of
volume
replacement
include
insertion
of
large-bore
peripheral
intravenous
catheters;
rapid
administration
of
prescribed
fluids;
and
positioning
the
patient
with
the
legs
elevated,
trunk
flat,
and
head
and
shoulders
above
the
chest.
PTS:
1
DIF:
Cognitive
Level:
Applying
REF:
p.
807
OBJ:
Nursing
Process
Step:
Intervention
TOP:
Shock
MSC:
NCLEX:
Physiologic
Integrity
4.
The
nurse
is
caring
for
a
patient
in
cardiogenic
shock.
The
nurse
recognizes
that
the
patient's
signs
and
symptoms
are
the
result
of
what
problem?
a.
Inability
of
the
heart
to
pump
blood
forward
b.
Loss
of
circulating
volume
and
subsequent
decreased
venous
return
c.
Disruption
of
the
conduction
system
when
reentry
phenomenon
occurs
d.
Suppression
of
the
sympathetic
nervous
system
-
ANS
ANS:
A
Cardiogenic
shock
is
the
result
of
failure
of
the
heart
to
effectively
pump
blood
forward.
It
can
occur
with
dysfunction
of
the
right
or
the
left
ventricle
or
both.
The
lack
of
adequate
pumping
function
leads
to
decreased
tissue
perfusion
and
circulatory
failure.
PTS:
1
DIF:
Cognitive
Level:
Applying
REF:
p.
807
OBJ:
Nursing
Process
Step:
Diagnosis
TOP:
Shock
MSC:
NCLEX:
Physiologic
Integrity
5.
The
nurse
is
caring
for
a
patient
in
cardiogenic
shock.
Which
hemodynamic
parameters
would
the
nurse
expect
to
note
to
support
this
diagnosis?
a.
Increased
right
atrial
pressure
b.
Decreased
pulmonary
artery
wedge
pressure
c.
Increased
cardiac
output
d.
Decreased
cardiac
index
-
ANS
ANS:
D
Assessment
of
the
hemodynamic
parameter
of
patients
in
cardiogenic
shock
reveals
a
decreased
cardiac
output
and
a
cardiac
index
less
than
2.2
L/min/m2.
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