Med Surg 2- LPN with answers
You |are |the |nurse |caring |for |an |unresponsive |client |from |a |long-term |facility. |The |client |has |an |
indwelling |catheter; |urine |output |is |scant. |VS: |BP |100/58, |P |62, |R |24, |T |99.1. |The |client |had |
recently |been |treated |for |a |UTI |by |the |PCP |and |had |not |been |feeling |well |for |5 |days. |Which |of |the |
following |types |of |shock |may |be |possible?
A. |Hypovolemic
B. |Cardiogenic
C. |Septic
D. |Neurogenic |- |correct |answer |-C
Foley |catheter |has |likely |caused |entry |point |for |bacteria |that |has |entered |the |bloodstream
A |nurse |stops |to |assist |at |a |severe |car |accident |and |notes |a |large |pool |of |blood |under |the |body |of |
a |victim. |Which |type |of |shock |is |the |client |most |likely |to |develop?
A. |Hypovolemic |shock
B. |Anaphylactic |shock
C. |Septic |shock
D. |Distributive |shock |- |correct |answer |-A
Hypovolemic |shock |is |likely |given |the |loss |blood |volume
Which |of |the |following |are |manifested |by |a |client |in |most |types |of |shock? |Select |all |that |apply.
1. |Flushed, |warm |skin
2. |Low |urine |output
3. |Bradycardia
, 4. |Tachypnea
5. |Hypotension
6. |Weak |and |thready |pulse |- |correct |answer |-2, |4, |5, |6
Shock |is |manifested |by |cold, |clammy |skin |- |with |the |exception |of |the |onset |of |septic |shock |- |renal |
output |that |falls |below |30 |mL/hr, |hypotension, |and |a |weak, |thready |pulse |due |to |decreased |
cardiac |output. |Tachycardia |is |a |homeostatic |response |to |attempt |to |restore |an |adequate |
circulatory |volume. |Respirations |become |rapid |(tachypnea) |to |maintain |blood |oxygenation
A |nursing |home |resident |is |admitted |to |the |hospital |with |a |diagnosis |of |septic |shock. |If |the |
physician |ordered |all |of |the |following, |the |nurse |is |most |correct |in |reviewing |which |lab |test |
because |it |is |most |indicative |of |septic |shock?
A. |Red |blood |cell |count
B. |White |blood |cell |count
C. |Creatine |kinase-MB
D. |Prothrombin |time |- |correct |answer |-B
Septic |shock |is |associated |with |a |severe |bacterial |infection |caused |by |Escherichia |coli, |
Pseudomonas, |Staphylococcus |aureus, |or |Streptococcus. |Clients |with |septic |shock |usually |have |
elevated |WBCs. |The |main |function |of |WBCs |is |to |fight |infection, |so |it |is |wise |for |the |nurse |to |
examine |the |WBC |count |first. |Clients |with |septic |shock |also |have |a |fever, |another |sign |of |infection. |
RBCs |are |used |to |carry |oxygen |to |the |tissues |and |are |not |related |to |infection, |but |the |RBC |count |
will |be |elevated |if |the |client |is |dehydrated. |Usually |ABGs |are |not |drawn |in |this |type |of |shock. |
Prothrombin |time |relates |to |blood |clotting |and |is |not |significant |in |septic |shock.
Which |of |the |following |factors |is |most |essential |for |the |nurse |to |assess |to |determine |the |presence |
of |shock?
A. |Client's |age
B. |Client's |weight
C. |Client's |previous |BP
D. |Clients |previous |pulse |- |correct |answer |-C
You |are |the |nurse |caring |for |an |unresponsive |client |from |a |long-term |facility. |The |client |has |an |
indwelling |catheter; |urine |output |is |scant. |VS: |BP |100/58, |P |62, |R |24, |T |99.1. |The |client |had |
recently |been |treated |for |a |UTI |by |the |PCP |and |had |not |been |feeling |well |for |5 |days. |Which |of |the |
following |types |of |shock |may |be |possible?
A. |Hypovolemic
B. |Cardiogenic
C. |Septic
D. |Neurogenic |- |correct |answer |-C
Foley |catheter |has |likely |caused |entry |point |for |bacteria |that |has |entered |the |bloodstream
A |nurse |stops |to |assist |at |a |severe |car |accident |and |notes |a |large |pool |of |blood |under |the |body |of |
a |victim. |Which |type |of |shock |is |the |client |most |likely |to |develop?
A. |Hypovolemic |shock
B. |Anaphylactic |shock
C. |Septic |shock
D. |Distributive |shock |- |correct |answer |-A
Hypovolemic |shock |is |likely |given |the |loss |blood |volume
Which |of |the |following |are |manifested |by |a |client |in |most |types |of |shock? |Select |all |that |apply.
1. |Flushed, |warm |skin
2. |Low |urine |output
3. |Bradycardia
, 4. |Tachypnea
5. |Hypotension
6. |Weak |and |thready |pulse |- |correct |answer |-2, |4, |5, |6
Shock |is |manifested |by |cold, |clammy |skin |- |with |the |exception |of |the |onset |of |septic |shock |- |renal |
output |that |falls |below |30 |mL/hr, |hypotension, |and |a |weak, |thready |pulse |due |to |decreased |
cardiac |output. |Tachycardia |is |a |homeostatic |response |to |attempt |to |restore |an |adequate |
circulatory |volume. |Respirations |become |rapid |(tachypnea) |to |maintain |blood |oxygenation
A |nursing |home |resident |is |admitted |to |the |hospital |with |a |diagnosis |of |septic |shock. |If |the |
physician |ordered |all |of |the |following, |the |nurse |is |most |correct |in |reviewing |which |lab |test |
because |it |is |most |indicative |of |septic |shock?
A. |Red |blood |cell |count
B. |White |blood |cell |count
C. |Creatine |kinase-MB
D. |Prothrombin |time |- |correct |answer |-B
Septic |shock |is |associated |with |a |severe |bacterial |infection |caused |by |Escherichia |coli, |
Pseudomonas, |Staphylococcus |aureus, |or |Streptococcus. |Clients |with |septic |shock |usually |have |
elevated |WBCs. |The |main |function |of |WBCs |is |to |fight |infection, |so |it |is |wise |for |the |nurse |to |
examine |the |WBC |count |first. |Clients |with |septic |shock |also |have |a |fever, |another |sign |of |infection. |
RBCs |are |used |to |carry |oxygen |to |the |tissues |and |are |not |related |to |infection, |but |the |RBC |count |
will |be |elevated |if |the |client |is |dehydrated. |Usually |ABGs |are |not |drawn |in |this |type |of |shock. |
Prothrombin |time |relates |to |blood |clotting |and |is |not |significant |in |septic |shock.
Which |of |the |following |factors |is |most |essential |for |the |nurse |to |assess |to |determine |the |presence |
of |shock?
A. |Client's |age
B. |Client's |weight
C. |Client's |previous |BP
D. |Clients |previous |pulse |- |correct |answer |-C
