Which type of shock has the following hemodynamic manifestations: increased cardiac output (CO), increased cardiac index (CI), decreased right atrial pressure (RAP), decreased systemic vascular resistance (SVR), and decreased pulmonary artery occlusion pressure (PAOP)?
a) Septic
b) Cardiogenic
c...
NRSG 4472: Chapter 34 (Shock, Sepsis, MODS)
questions with correct answers
Which type of shock has the following hemodynamic manifestations:
increased cardiac output (CO), increased cardiac index (CI), decreased
right atrial pressure (RAP), decreased systemic vascular resistance
(SVR), and decreased pulmonary artery occlusion pressure (PAOP)?
a) Septic
b) Cardiogenic
c) Anaphylactic
d) Neurogenic Correct Answer-a
Which parameters are clinical manifestations of cardiogenic shock?
a) Decreased pulmonary artery occlusion pressure
b) Decreased right atrial pressure
c) Decreased cardiac index to less than 2.2 L/min/m2
d) Decreased systemic vascular resistance Correct Answer-c
Which shock state includes hypotension despite adequate fluid
resuscitation along with perfusion abnormalities such as lactic acidosis,
oliguria, or acute change in mentation?
a) Neurogenic
b) Cardiogenic
c) Anaphylactic
d) Septic Correct Answer-d
,Which laboratory value provides information regarding the severity of
impaired perfusion and helps determine the adequacy of therapies in the
patient with septic shock and multiple-organ dysfunction syndrome
(MODS)?
a) Serum glucose
b) Serum lactate
c) Serum albumin
d) Serum creatinine Correct Answer-b
What therapies may be administered to decrease oxygen demand in the
patient with multiple-organ dysfunction syndrome?
a) Vasoactive and positive inotropic agents
b) Diuretics and antidysrhythmic agents
c) Crystalloids and antibiotics
d) Antipyretics and sedative agents Correct Answer-d
What is a priority nursing diagnosis for the patient in shock regardless of
the phase or type?
a) Deficient fluid volume
b) Ineffective breathing pattern
c) Ineffective tissue perfusion
d) Imbalanced nutrition: less than body requirements Correct Answer-c
, A postoperative patient has a heart rate of 110 beats/min and blood
pressure (BP) of 110/80 mm Hg (previously 130/60 mm Hg). Urine
output has been 20 mL/h for the past 3 hours, capillary filling time is 5
seconds, the skin is cool, the neck veins are flattened, and the patient is
complaining of thirst. The nurse suspects the may be experiencing which
disorder?
a) Hypovolemic shock
b) Cardiac tamponade
c) Cardiogenic shock
d) Anaphylaxis Correct Answer-a
The nurse notes that the patient's arterial blood gases reflect hypoxia,
respiratory alkalosis, scattered crackles, and distended jugular veins.
Heart tones are distant, but an S3 and S4 are noted despite scant amounts
of concentrated urine output. The nurse anticipates the administration of
which therapy?
a) Isotonic saline
b) Amiodarone
c) Furosemide
d) Sodium bicarbonate Correct Answer-c
The nurse is developing a care plan for the patient in cardiogenic shock.
What is the goal for therapy?
a) Increasing preload
b) Decreasing afterload
c) Increasing myocardial workload
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