NUR 2212 F. H. Exam 3 (Critical Care, Shocks) QUESTIONS AND (elaborated) ANSWETRS WITH
COMPLETE SOLUTIONS RATED A+
What is the pathophysiology of shock? Inadequate tissue perfusion. Cells are lacking oxygen
and nutrients.
What are the S&S of Neurogenic shock? SATA
1-Increased pulse pressure
2-Hypotension (systolic < 80)
3-Hypertension
4-Skin warm, pink, and dry
5-Bradicardia (<60)
6-Bladder dysfunction 2-Hypotension (systolic <80)
4-Skin warm, pink, and dry
5-Bradycardia (<60)
6-Bladder dysfunction
A client has a functional transection of the spinal cord at C7-8, resulting in spinal shock. Which
clinical indicators does the nurse expect to identify when assessing the client immediately after
the injury? SATA
1-Spasticity
2-Incontinence
3-Flaccid paralysis
4-Respiratory failure
5-Lack of reflexes below the injury 3-Flaccid paralysis
5-Lack of reflexes below the injury
What are the nutritional needs during shock and why?
, What is the rationale if increased nutritional needs? More Calories. Fight or flight response
increase the metabolic demands. Catecholamines will increase metabolic demands and will
require more calories.
What is the role of ADH during shock and its consequences in the UOP? The role of ADH is to
retain fluids (water) and decreased UOP.
What is the priority nursing considerations for the administration of IV Dopamine infusion? -
Dopamine is a catecholamine (vasoconstriction)
-Dopamine Increases BP and require frequent VS monitoring
-Give through central line and monitor ( if infiltrated can cause vasoconstriction of the tissue
and necrosis)
-Dopamine must be titrated slow.
What are the S/S of shock stages? Normal BP but they have tachycardia, patient has
decreased bowel sounds (b/c of vasoconstriction) cold and clammy skin, paralytic ileus, what
stage in shock? Compensatory stage
What is the rationale for the use of morphine for pain treatment in cardiogenic shock?
Morphine causes vasodilation (cardiogenic shock leads to the formation of thrombus)
What is the compensatory mechanism to increase CO during hypovolemia? Tachycardia
because by beating faster the body will be able to maintain cardiac output.
What Interventions are used in ALL types of shock? Nutrition because of the catecholamines
elevating the metabolism and oxygenation.
What are the S/S of fluid replacement complications in treating shock? SATA
1-Fluid deficit
2-Fluid overload
COMPLETE SOLUTIONS RATED A+
What is the pathophysiology of shock? Inadequate tissue perfusion. Cells are lacking oxygen
and nutrients.
What are the S&S of Neurogenic shock? SATA
1-Increased pulse pressure
2-Hypotension (systolic < 80)
3-Hypertension
4-Skin warm, pink, and dry
5-Bradicardia (<60)
6-Bladder dysfunction 2-Hypotension (systolic <80)
4-Skin warm, pink, and dry
5-Bradycardia (<60)
6-Bladder dysfunction
A client has a functional transection of the spinal cord at C7-8, resulting in spinal shock. Which
clinical indicators does the nurse expect to identify when assessing the client immediately after
the injury? SATA
1-Spasticity
2-Incontinence
3-Flaccid paralysis
4-Respiratory failure
5-Lack of reflexes below the injury 3-Flaccid paralysis
5-Lack of reflexes below the injury
What are the nutritional needs during shock and why?
, What is the rationale if increased nutritional needs? More Calories. Fight or flight response
increase the metabolic demands. Catecholamines will increase metabolic demands and will
require more calories.
What is the role of ADH during shock and its consequences in the UOP? The role of ADH is to
retain fluids (water) and decreased UOP.
What is the priority nursing considerations for the administration of IV Dopamine infusion? -
Dopamine is a catecholamine (vasoconstriction)
-Dopamine Increases BP and require frequent VS monitoring
-Give through central line and monitor ( if infiltrated can cause vasoconstriction of the tissue
and necrosis)
-Dopamine must be titrated slow.
What are the S/S of shock stages? Normal BP but they have tachycardia, patient has
decreased bowel sounds (b/c of vasoconstriction) cold and clammy skin, paralytic ileus, what
stage in shock? Compensatory stage
What is the rationale for the use of morphine for pain treatment in cardiogenic shock?
Morphine causes vasodilation (cardiogenic shock leads to the formation of thrombus)
What is the compensatory mechanism to increase CO during hypovolemia? Tachycardia
because by beating faster the body will be able to maintain cardiac output.
What Interventions are used in ALL types of shock? Nutrition because of the catecholamines
elevating the metabolism and oxygenation.
What are the S/S of fluid replacement complications in treating shock? SATA
1-Fluid deficit
2-Fluid overload
