NSG 232 Exam 2 Questions
And Answers
When caring for a patient in acute septic shock, the nurse would anticipate-
✓~ -Infusing large amounts of intravenous fluids.
Septic shock is characterized by-
✓~ -a decreased circulating blood volume.
What is the cornerstone of therapy for septic shock?
✓~ -Volume expansion with the administration of intravenous fluids.
Ventricular assist devices are useful for-
✓~ -cardiogenic shock.
What common drug is beneficial for anaphylactic shock?
, ✓~ -Diphenhydramine (Benadryl)
When caring for a critically ill patient who is being mechanically ventilated, the
nurse will astutely monitor for which clinical manifestation of multiple organ
dysfunction syndrome (MODS)?
✓~ -Decreased respiratory compliance
Clinical manifestations of MODS include symptoms of-
✓~ -respiratory distress, signs and symptoms of decreased renal perfusion, decreased
serum albumin and prealbumin, decreased GI motility, acute neurologic changes,
myocardial dysfunction, disseminated intravascular coagulation (DIC), and changes in
glucose metabolism.
The many deleterious effects of shock are all related to-
✓~ -inadequate perfusion and oxygenation of every body system.
What happens to BUN and creatinine in the case of cardiogenic shock?
✓~ -They are increased as a result of renal hypoperfusion.
,Patients in septic shock require-
✓~ -large amounts of fluid replacement.
Nitrates and β-adrenergic blockers are most often used in the treatment of -
✓~ -patients in cardiogenic shock.
Hyperglycemia in the absence of diabetes can be an indicator of?
✓~ -possible onset of sepsis. People with no prior diabetic history who present with
hyperglycemia may be going into septic shock.
What is the primary precipitating factor in septic shock?
✓~ -Infection leading to an inflammatory response
What is the primary precipitating factor for neurogenic shock?
✓~ -trauma to spinal cord.
What happens in neurogenic shock?
, ✓~ -spinal cord injury leads to loss of sympathetic tone, resulting in massive
vasodilation.
What is the precipitating factor for cardiogenic shock?
✓~ -loss or inadequate ventricular function leading to poor cardiac output.
What is the precipitating factor for hypovolemic shock?
✓~ -Loss of blood or flood from vasculature.
Dobutamine is an inotropic drug given specifically to improve-
✓~ -cardiac output (CO).
The key factor in describing any type of shock is_
✓~ _ inadequate tissue perfusion.
What are some precipitating factors of Neurogenic shock?
✓~ _Spinal cord injury, epidural block, severe pain
And Answers
When caring for a patient in acute septic shock, the nurse would anticipate-
✓~ -Infusing large amounts of intravenous fluids.
Septic shock is characterized by-
✓~ -a decreased circulating blood volume.
What is the cornerstone of therapy for septic shock?
✓~ -Volume expansion with the administration of intravenous fluids.
Ventricular assist devices are useful for-
✓~ -cardiogenic shock.
What common drug is beneficial for anaphylactic shock?
, ✓~ -Diphenhydramine (Benadryl)
When caring for a critically ill patient who is being mechanically ventilated, the
nurse will astutely monitor for which clinical manifestation of multiple organ
dysfunction syndrome (MODS)?
✓~ -Decreased respiratory compliance
Clinical manifestations of MODS include symptoms of-
✓~ -respiratory distress, signs and symptoms of decreased renal perfusion, decreased
serum albumin and prealbumin, decreased GI motility, acute neurologic changes,
myocardial dysfunction, disseminated intravascular coagulation (DIC), and changes in
glucose metabolism.
The many deleterious effects of shock are all related to-
✓~ -inadequate perfusion and oxygenation of every body system.
What happens to BUN and creatinine in the case of cardiogenic shock?
✓~ -They are increased as a result of renal hypoperfusion.
,Patients in septic shock require-
✓~ -large amounts of fluid replacement.
Nitrates and β-adrenergic blockers are most often used in the treatment of -
✓~ -patients in cardiogenic shock.
Hyperglycemia in the absence of diabetes can be an indicator of?
✓~ -possible onset of sepsis. People with no prior diabetic history who present with
hyperglycemia may be going into septic shock.
What is the primary precipitating factor in septic shock?
✓~ -Infection leading to an inflammatory response
What is the primary precipitating factor for neurogenic shock?
✓~ -trauma to spinal cord.
What happens in neurogenic shock?
, ✓~ -spinal cord injury leads to loss of sympathetic tone, resulting in massive
vasodilation.
What is the precipitating factor for cardiogenic shock?
✓~ -loss or inadequate ventricular function leading to poor cardiac output.
What is the precipitating factor for hypovolemic shock?
✓~ -Loss of blood or flood from vasculature.
Dobutamine is an inotropic drug given specifically to improve-
✓~ -cardiac output (CO).
The key factor in describing any type of shock is_
✓~ _ inadequate tissue perfusion.
What are some precipitating factors of Neurogenic shock?
✓~ _Spinal cord injury, epidural block, severe pain
