NUR2755 / NUR 2755 Multidimensional Care IV Exam 2
Review | Already Rated A Guide | Rasmussen College
1. Calculate the MAP for this blood pressure and determine if the patient will get good
perfusion: Round to nearest whole number: BP 140/75
- 140 + 2 (75) /3 =97
- The patient is perfusing well as the MAP is between 70-110
2. If a patient with a ARDS has a good blood pressure, can they be given a diuretic to rid
fluids?
- Yes but will likely need to be in low doses
3. When might vasopressin be used in shock?
- In severe cases to prevent losses
4. Explain what occurs in the compensatory stage of shock
- MAP decreases 10-15, vasoconstriction, increased thirst, decreased output,
body tries to compensate, low pulse pressure, increased RR
5. Explain what occurs in the progressive stage of shock
, - Decreased MAP, anoxia or nonmetal organs, hyperkalemia, acidosis,
hypoxia, ischemia, LOC changes, chest pain, unconsciousness
6. Explain what can occur in the refractory stage of shock
- severe hypoxia, ischemia, necrosis, MDF is released, toxins can build up
causing MODS and death
7. What labs could be anticipated for any shock patient?
- F/E levels, H/H, increased lactic acid levels, ABG, high K levels, WBC count
is elevated
8. A nursing student is learning about the types of distributive shocks. What are they?
- neurogenic, septic, anaphylactic
9. What is capillary leak syndrome?
- In burn patients, when the fluid leaks through the vessels causing a shift in
vascular volume outside the vessel
10. A patient comes in with having cardiac tamponade and obstructive shock. What is
obstructive shock?
Review | Already Rated A Guide | Rasmussen College
1. Calculate the MAP for this blood pressure and determine if the patient will get good
perfusion: Round to nearest whole number: BP 140/75
- 140 + 2 (75) /3 =97
- The patient is perfusing well as the MAP is between 70-110
2. If a patient with a ARDS has a good blood pressure, can they be given a diuretic to rid
fluids?
- Yes but will likely need to be in low doses
3. When might vasopressin be used in shock?
- In severe cases to prevent losses
4. Explain what occurs in the compensatory stage of shock
- MAP decreases 10-15, vasoconstriction, increased thirst, decreased output,
body tries to compensate, low pulse pressure, increased RR
5. Explain what occurs in the progressive stage of shock
, - Decreased MAP, anoxia or nonmetal organs, hyperkalemia, acidosis,
hypoxia, ischemia, LOC changes, chest pain, unconsciousness
6. Explain what can occur in the refractory stage of shock
- severe hypoxia, ischemia, necrosis, MDF is released, toxins can build up
causing MODS and death
7. What labs could be anticipated for any shock patient?
- F/E levels, H/H, increased lactic acid levels, ABG, high K levels, WBC count
is elevated
8. A nursing student is learning about the types of distributive shocks. What are they?
- neurogenic, septic, anaphylactic
9. What is capillary leak syndrome?
- In burn patients, when the fluid leaks through the vessels causing a shift in
vascular volume outside the vessel
10. A patient comes in with having cardiac tamponade and obstructive shock. What is
obstructive shock?
