NSG 232 EXAM REVISION QUESTIONS AND
100% CORECT 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.
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.
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 hypovolemic shock?
-Loss of blood or flood from vasculature.
The key factor in describing any type of shock is_
_ inadequate tissue perfusion.
What are some precipitating factors of obstructive shock?
_Abdominal compartment syndrome, pulmonary embolism
Which shock is characterized by increased systemic vascular resistance (SVR), decreased
CO, and decreased pulmonary artery wedge pressure (PAWP)?
Hypovolemic shock
In SEPTIC shock, bacterial endotoxins cause vascular changes that result in_
_DECREASED systemic vascular resistance with INCREASED cardiac output.
What are two common characteristics of NEUROGENIC shock?
_Bradycardia and hypotension
ABSOLUTE hypovolemia results when_
_fluid is lost through hemorrhage, GI loss (vomiting/diarrhea), fistula drainage, diabetes
insipidus, or diuresis.
RELATIVE hypovolemia results when_
_fluid volume moves out of the vascular space into the extravascular space. (Third spacing)
What are diuretics?
Drugs that act on the renal tubule to promote the excretion of sodium, chloride and water
100% CORECT 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.
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.
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 hypovolemic shock?
-Loss of blood or flood from vasculature.
The key factor in describing any type of shock is_
_ inadequate tissue perfusion.
What are some precipitating factors of obstructive shock?
_Abdominal compartment syndrome, pulmonary embolism
Which shock is characterized by increased systemic vascular resistance (SVR), decreased
CO, and decreased pulmonary artery wedge pressure (PAWP)?
Hypovolemic shock
In SEPTIC shock, bacterial endotoxins cause vascular changes that result in_
_DECREASED systemic vascular resistance with INCREASED cardiac output.
What are two common characteristics of NEUROGENIC shock?
_Bradycardia and hypotension
ABSOLUTE hypovolemia results when_
_fluid is lost through hemorrhage, GI loss (vomiting/diarrhea), fistula drainage, diabetes
insipidus, or diuresis.
RELATIVE hypovolemia results when_
_fluid volume moves out of the vascular space into the extravascular space. (Third spacing)
What are diuretics?
Drugs that act on the renal tubule to promote the excretion of sodium, chloride and water
