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NURS 487 FINAL EXAM QUESTIONS WITH COMPLETE ANSWERS

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NURS 487 FINAL EXAM QUESTIONS WITH COMPLETE ANSWERS

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What is an indicator/ symptom that shock is progressing?


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In the early stage of septic shock, the patient has warm and dry skin. Cool
and clammy skin would indicate that the shock is progressing.




Interpret this ABG result: pH- 7.32, CO2- 37, HCO3- 16


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uncompensated metabolic acidosis

,"Third-spacing" refers to when the fluid moves into the extravascular space. True or
False?


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True




What is DIC? (manifestations, diagnostics)


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- disseminated intravascular coagulation
- DECREASED CLOTTING FACTORS

- manifestations: pallor, tachycardia, hypotension, increased RR, decreased
LOC, cyanosis
- diagnostics: decreased platelets, long INR/ PTT, ++ d-dimer




What is the difference between sepsis and septic shock?


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- Sepsis is a complication of an infection


- septic shock is a severe condition that occurs when the body's blood
pressure falls and organs shut down




What are some manifestations of the inflammatory response?

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redness, swelling, heat, pain, fever, tachycardia




What is a hypertonic solution? (purpose, when is it used)


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- pulls the h2o & sodium out
- Used in patients with cerebral edema (drawing fluids out of the cell to
increase the solute in the plasma)
- TREATMENT OF HYPONATREMIA, DECREASED ICP, REPLACEMENT OF
ELECTROLYTES, TREAT SHOCK




What are the ways a wound is classified?


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Causes (surgical/ non-surgical, acute/ chronic), level of contamination,
depth of the affected tissue, color




What is a major cause of sepsis?


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DIC

, What is a symptom in anaphylactic shock?


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Angioneurotic edema.




What is the pathology/ steps for septic shock? (7)


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1. invading organism enters
2. peripheral vasodilation occurs
3. increased capillary permeability
4. decreased circulating blood volume
5. decreased O2 supply
6. decreased tissue perfusion
7. increased O2 demand




What is the purpose of vasopressors in septic shock?


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Used to keep MAP >65




What is anasarca?


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