SLCC Nursing ~ Med-Surg 3 ~ unit 3 test
Questions With Complete Solutions
Hypovolemic shock interventions Nursing interventions include minimizing fluid loss,
administering volume replacement, assessing response to therapy, providing comfort and
emotional support, and preventing and maintaining surveillance for complications.
Stages of Shock 1.During the initial stage, cardiac output (CO) is decreased, and tissue
perfusion is threatened.
2.Compensatory stage begins as the body's homeostatic mechanisms attempt to maintain CO,
blood pressure, and tissue perfusion.
3.Progressive stage, the compensatory mechanisms begin failing to meet tissue metabolic needs,
and the shock cycle is perpetuated.
4.Refractory stage, shock becomes unresponsive to therapy and is considered irreversible. Point
of no return
What MAP defines shock The client with a MAP less than 60 mm Hg or with evidence of
global tissue hypo perfusion is considered to be in a shock state.
, SLCC Nursing ~ Med-Surg 3 ~ unit 3 test
Questions With Complete Solutions
What is the most common type of shock Hypovolemic shock is the most commonly
occurring form of shock.
What shock types are distributive 1.Septic
2.Anaphylactic
3.Neurogenic
Cardiogenic Shock Cardiogenic shock is the result of failure of the heart to effectively
pump blood forward
It can occur with dysfunction of the right or the left ventricle, or both
The lack of adequate pumping function leads to decreased tissue perfusion and circulatory failure
Cardiogenic Shock Signs and Symptoms The patient may complain of chest pain.
Tachycardia develops to compensate for the decrease in CO. The respiratory rate increases to
improve oxygenation.
ABG values indicate respiratory alkalosis.
Questions With Complete Solutions
Hypovolemic shock interventions Nursing interventions include minimizing fluid loss,
administering volume replacement, assessing response to therapy, providing comfort and
emotional support, and preventing and maintaining surveillance for complications.
Stages of Shock 1.During the initial stage, cardiac output (CO) is decreased, and tissue
perfusion is threatened.
2.Compensatory stage begins as the body's homeostatic mechanisms attempt to maintain CO,
blood pressure, and tissue perfusion.
3.Progressive stage, the compensatory mechanisms begin failing to meet tissue metabolic needs,
and the shock cycle is perpetuated.
4.Refractory stage, shock becomes unresponsive to therapy and is considered irreversible. Point
of no return
What MAP defines shock The client with a MAP less than 60 mm Hg or with evidence of
global tissue hypo perfusion is considered to be in a shock state.
, SLCC Nursing ~ Med-Surg 3 ~ unit 3 test
Questions With Complete Solutions
What is the most common type of shock Hypovolemic shock is the most commonly
occurring form of shock.
What shock types are distributive 1.Septic
2.Anaphylactic
3.Neurogenic
Cardiogenic Shock Cardiogenic shock is the result of failure of the heart to effectively
pump blood forward
It can occur with dysfunction of the right or the left ventricle, or both
The lack of adequate pumping function leads to decreased tissue perfusion and circulatory failure
Cardiogenic Shock Signs and Symptoms The patient may complain of chest pain.
Tachycardia develops to compensate for the decrease in CO. The respiratory rate increases to
improve oxygenation.
ABG values indicate respiratory alkalosis.
