Chapter 66: sepsis | UPDATED Questions with 100% Verified
Answers
Grand Canyon University • NSG 320
Q1: Which cardiovascular change is commonly found in patients with systemic inflammatory response
syndrome (SIRS)?
A: decrease in capillary refil
patients with SIRS have decreased capillary refill. Other cardiovascular changes include
increases rather than decreases in heart rate, central venous pressure, and pulmonary
artery wedge pressure
Q2: Which type of organism most commonly causes sepsis?
A: bacteria (gramnegative and grampositie bacteria)
Q3: Septic shock is classified as which type of shock?
A: distributive
which result of abnormal distribution of blood flow, causing an inadequate supply of
blood to meet the metabolic needs of the body's tissue and organs. Septic shock is
characterized by hypotension and inadequate tissue perfusion, restuling in inadequate
supply of blood to meet the metabolic needs of the body's tissues and organs.
Q4: The nurse provides care for a patient with neurogenic shock whose spine has been stabilized. The nurse
prioritizes treatment of the patient's hypotension and bradycardia for which primary purpose?
A: to prevent further spinal cord damage
Q5: Which elements are included in the assessment of the tissue perfusion of a patient experiencing shock?
A: *Vital signs
* urine output
* peripheral pulses
* skin temperature
* level of consciousness
Q6: Which term is used to describe persistent hypotension despite adequate fluid resuscitation requiring
vasopressors along with inadequate tissue perfusion resulting in tissue hypoxia?
A: septic shock
is characterized by persistent hypotension despite adequate fluid resuscitation requiring
vasopressors along with inadequate tissue perfusion resulting in tissue hypoxia.
, Q7: The nurse provides care for a patient with septic shock. The nurse recalls that the reninangiotensin
system is activated during which stage of shock?
A: compensatory stage
the body's responses reflect the imbalance in the oxygen sypply and demand.
Decreased blood flow to the kidneys activiates the reninangiotensin system. The net
result is an increase in venous return to the heart and an increase in BP
Q8: the nurse provides care for a patient experiencing shock. Assessment findings are indicative of
decreasing cardiac output and decreased peripheral perfusion. The nurse identifies that the patient is in
which stage of shock?
A: progressive
the cardiovascular system is profoundly affected in the progressive stage of shock.
Manifestations of the progressive staqge of shock include decreased cardiac output,
which leads to decreased BP and increased HR.
Q9: Which process occurs when the inflammatory response is activated in a patient with systemic
inflammatory response syndrome (SIRS)?
A: release of mediators
Q10: Which goal for fluid resuscitation would the nurse choose when caring for a patient diagnosed with
sepsis?
A: restore tissue perfusion
Q11: Which manifestations are considered late signs of septic shock?
A: * cool skin
* mottled skin
* myocardial dysfunction
Q12: which nutritional component is most important for a patient with multiple organ dysfunction syndrome
(MODS)?
A: protein
protein and calorie malnutrition is one of the primary signs of hypermetabolism in MODS.
The goal of nutritional support is to preserve organ function by providing early and
optimal nutrition.
Q13: A patient with an unobstructed airway experiences anaphylactic shock. Which initial action does the
nurse take?
A: administer oxygen
Answers
Grand Canyon University • NSG 320
Q1: Which cardiovascular change is commonly found in patients with systemic inflammatory response
syndrome (SIRS)?
A: decrease in capillary refil
patients with SIRS have decreased capillary refill. Other cardiovascular changes include
increases rather than decreases in heart rate, central venous pressure, and pulmonary
artery wedge pressure
Q2: Which type of organism most commonly causes sepsis?
A: bacteria (gramnegative and grampositie bacteria)
Q3: Septic shock is classified as which type of shock?
A: distributive
which result of abnormal distribution of blood flow, causing an inadequate supply of
blood to meet the metabolic needs of the body's tissue and organs. Septic shock is
characterized by hypotension and inadequate tissue perfusion, restuling in inadequate
supply of blood to meet the metabolic needs of the body's tissues and organs.
Q4: The nurse provides care for a patient with neurogenic shock whose spine has been stabilized. The nurse
prioritizes treatment of the patient's hypotension and bradycardia for which primary purpose?
A: to prevent further spinal cord damage
Q5: Which elements are included in the assessment of the tissue perfusion of a patient experiencing shock?
A: *Vital signs
* urine output
* peripheral pulses
* skin temperature
* level of consciousness
Q6: Which term is used to describe persistent hypotension despite adequate fluid resuscitation requiring
vasopressors along with inadequate tissue perfusion resulting in tissue hypoxia?
A: septic shock
is characterized by persistent hypotension despite adequate fluid resuscitation requiring
vasopressors along with inadequate tissue perfusion resulting in tissue hypoxia.
, Q7: The nurse provides care for a patient with septic shock. The nurse recalls that the reninangiotensin
system is activated during which stage of shock?
A: compensatory stage
the body's responses reflect the imbalance in the oxygen sypply and demand.
Decreased blood flow to the kidneys activiates the reninangiotensin system. The net
result is an increase in venous return to the heart and an increase in BP
Q8: the nurse provides care for a patient experiencing shock. Assessment findings are indicative of
decreasing cardiac output and decreased peripheral perfusion. The nurse identifies that the patient is in
which stage of shock?
A: progressive
the cardiovascular system is profoundly affected in the progressive stage of shock.
Manifestations of the progressive staqge of shock include decreased cardiac output,
which leads to decreased BP and increased HR.
Q9: Which process occurs when the inflammatory response is activated in a patient with systemic
inflammatory response syndrome (SIRS)?
A: release of mediators
Q10: Which goal for fluid resuscitation would the nurse choose when caring for a patient diagnosed with
sepsis?
A: restore tissue perfusion
Q11: Which manifestations are considered late signs of septic shock?
A: * cool skin
* mottled skin
* myocardial dysfunction
Q12: which nutritional component is most important for a patient with multiple organ dysfunction syndrome
(MODS)?
A: protein
protein and calorie malnutrition is one of the primary signs of hypermetabolism in MODS.
The goal of nutritional support is to preserve organ function by providing early and
optimal nutrition.
Q13: A patient with an unobstructed airway experiences anaphylactic shock. Which initial action does the
nurse take?
A: administer oxygen
