Examl 2:l NRl 341/l NR341l (NEWl 2026/l
2027l Update)l Complexl Adultl Healthl
Guide|l Questionsl &l Answersl |l Gradel A|l
100%l Correctl (Verifiedl Solutions)l -
Chamberlain
QUESTION
cardiacl tamponade
Answer:
fluid/bloodl accumulatingl inl pericardiall sacl aroundl thel heartl whichl causesl thel heartsl
chambersl tol notl pumpl properlyl
Causes:
-l bluntl orl penetratingl traumal
Manifestations:
-l becksl triadl (hypotension,l muffledl heartl sounds,l JVD)
Treatment:
-l pericardiocentesis
QUESTION
distributivel shock
Answer:
-l widespreadl vasodilationl duel tol thel causel ofl thel shockl
-l leadsl tol decreasedl bloodl flowl tol thel mainl organsl (bloodl isl goingl tol thel peripheryl
Manifestations:
-l warm,l boundingl skinl (notl cooll andl clammy)l becausel bloodl isl poolingl inl thel
peripheryl duel tol thel vasodilation
,Types:
1.l anaphylactic
2.l septic
3.l neurogenic
QUESTION
anaphylacticl shock
Answer:
-l systemicl hypersensitivityl reactionl
-l antigen-antibodyl responsel
-l histaminel isl releasedl (vasodilator)l
Causes:
-l insectl stings
-l foodl allergy
-l ACEl inhibitorsl
Manifestations:
-l vasodilationl =l hypotension,l warml andl flushedl skin,l boundingl pulses
-l bronchoconstrictionl =l wheezing,l stridorl
-l pruritiusl andl urticarial
-l angioedemal
Management:
-l restorel tissuel perfusion
-l epinephrinel -->l vasoconstrictionl andl bronchodilationl
-l monitorl airway;l mightl needl tol bel intubated
-l antihistamines
-l steroidsl tol decreasel inflammation
-l albuteroll -->l bronchodilationl
-l isotonicl fluidsl
-l vasopressorsl =l dopaminel andl norepinephrine
QUESTION
neurogenicl shock
,Answer:
-l occursl withinl 30l minutesl ofl al spinall cordl injuryl andl lastsl upl tol 6l weeksl
-l cervicall orl highl thoracicl injuryl
-l massivel vasodilationl withoutl compensationl becausel SNSl cannotl transmitl impulsesl andl
reactl normall vessell tonel
Manifestations:
-l hypotension
-l bradycardia
-l hypothermicl
Treatment:
-l supportl BPl (fluidsl andl vasoconstrictorsl =l epinephrine)l
-l atropinel orl temporaryl pacing
QUESTION
septicl shock
Answer:
-l widespreadl inflammatoryl responsel
-l lifel threateningl
-l graml positivel orl negativel bacteria
-l beginsl asl al localizedl infectionl thatl spreadsl throughl thel blood/lymph
-l bodyl canl gol intol organl failurel
Manifestations:
-l increased/decreasedl temperature
-l tachypnea,l tachycardia,l hypotensionl
-l decreasedl LOCl
-l warml flushedl skinl atl firstl -->l cooll andl modeledl skin
-l rigorsl (shakes)
-l oligurial
-l increasedl WBCl
-l positivel bloodl culturesl
-l decreasedl plateletl countl
Complication:
, -l DICl
Management:
-l antibioticsl
-l isotonicl fluids
-l vasopressorsl =l norepinephrine
QUESTION
NEEDl FLUIDl =l hypovolemicl andl distributive
DON'Tl NEEDl =l cardiogenicl andl obstructive
Answer:
Whatl typesl ofl shockl needl fluids?l Whatl typesl don'tl needl fluid?
QUESTION
epinephrine/norepinephrine/levophed
Answer:
Whatl medicationl isl al vasocontrictor?
QUESTION
acutel renall failure
Answer:
-l developsl overl al shortl periodl ofl timel (hoursl orl al fewl days)
-l kidneysl stopl functioningl properly
Types:
Prel renal:
-l duel tol decreasedl perfusionl tol thel kidneysl
-l hypovolemicl shock
-l renall arteryl obstructionl
-l decreasedl COl (MI)
2027l Update)l Complexl Adultl Healthl
Guide|l Questionsl &l Answersl |l Gradel A|l
100%l Correctl (Verifiedl Solutions)l -
Chamberlain
QUESTION
cardiacl tamponade
Answer:
fluid/bloodl accumulatingl inl pericardiall sacl aroundl thel heartl whichl causesl thel heartsl
chambersl tol notl pumpl properlyl
Causes:
-l bluntl orl penetratingl traumal
Manifestations:
-l becksl triadl (hypotension,l muffledl heartl sounds,l JVD)
Treatment:
-l pericardiocentesis
QUESTION
distributivel shock
Answer:
-l widespreadl vasodilationl duel tol thel causel ofl thel shockl
-l leadsl tol decreasedl bloodl flowl tol thel mainl organsl (bloodl isl goingl tol thel peripheryl
Manifestations:
-l warm,l boundingl skinl (notl cooll andl clammy)l becausel bloodl isl poolingl inl thel
peripheryl duel tol thel vasodilation
,Types:
1.l anaphylactic
2.l septic
3.l neurogenic
QUESTION
anaphylacticl shock
Answer:
-l systemicl hypersensitivityl reactionl
-l antigen-antibodyl responsel
-l histaminel isl releasedl (vasodilator)l
Causes:
-l insectl stings
-l foodl allergy
-l ACEl inhibitorsl
Manifestations:
-l vasodilationl =l hypotension,l warml andl flushedl skin,l boundingl pulses
-l bronchoconstrictionl =l wheezing,l stridorl
-l pruritiusl andl urticarial
-l angioedemal
Management:
-l restorel tissuel perfusion
-l epinephrinel -->l vasoconstrictionl andl bronchodilationl
-l monitorl airway;l mightl needl tol bel intubated
-l antihistamines
-l steroidsl tol decreasel inflammation
-l albuteroll -->l bronchodilationl
-l isotonicl fluidsl
-l vasopressorsl =l dopaminel andl norepinephrine
QUESTION
neurogenicl shock
,Answer:
-l occursl withinl 30l minutesl ofl al spinall cordl injuryl andl lastsl upl tol 6l weeksl
-l cervicall orl highl thoracicl injuryl
-l massivel vasodilationl withoutl compensationl becausel SNSl cannotl transmitl impulsesl andl
reactl normall vessell tonel
Manifestations:
-l hypotension
-l bradycardia
-l hypothermicl
Treatment:
-l supportl BPl (fluidsl andl vasoconstrictorsl =l epinephrine)l
-l atropinel orl temporaryl pacing
QUESTION
septicl shock
Answer:
-l widespreadl inflammatoryl responsel
-l lifel threateningl
-l graml positivel orl negativel bacteria
-l beginsl asl al localizedl infectionl thatl spreadsl throughl thel blood/lymph
-l bodyl canl gol intol organl failurel
Manifestations:
-l increased/decreasedl temperature
-l tachypnea,l tachycardia,l hypotensionl
-l decreasedl LOCl
-l warml flushedl skinl atl firstl -->l cooll andl modeledl skin
-l rigorsl (shakes)
-l oligurial
-l increasedl WBCl
-l positivel bloodl culturesl
-l decreasedl plateletl countl
Complication:
, -l DICl
Management:
-l antibioticsl
-l isotonicl fluids
-l vasopressorsl =l norepinephrine
QUESTION
NEEDl FLUIDl =l hypovolemicl andl distributive
DON'Tl NEEDl =l cardiogenicl andl obstructive
Answer:
Whatl typesl ofl shockl needl fluids?l Whatl typesl don'tl needl fluid?
QUESTION
epinephrine/norepinephrine/levophed
Answer:
Whatl medicationl isl al vasocontrictor?
QUESTION
acutel renall failure
Answer:
-l developsl overl al shortl periodl ofl timel (hoursl orl al fewl days)
-l kidneysl stopl functioningl properly
Types:
Prel renal:
-l duel tol decreasedl perfusionl tol thel kidneysl
-l hypovolemicl shock
-l renall arteryl obstructionl
-l decreasedl COl (MI)
