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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 the patho behind neurogenic shock?


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1. disruption of the SNS
2. decreased sympathetic tone
3. vasodilation occurs
4. decreased BP, HR, SV, and CO
5. overall decreased tissue perfusion and O2




What lab value is decreased in sepsis?


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decreased coagulation factor= DIC

,What makes up septic shock? (= ? + ? & ? or ?)


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= sepsis + organ dysfunction & hypotension or hypo perfusion




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 are the stages of shock?


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Compensatory
Progressive
Irreversible




What is a symptom in anaphylactic shock?


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, Angioneurotic edema.




What is the antigen-antibody response?


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occurs when white blood cells/ antibodies recognize a substance as
foreign/ antigen and try to destroy it




What is intravascular fluid?


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Fluid WITHIN the blood vessels




What are the 3 functions of the immune system?


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defense, homeostasis, surveillance




What are the types of burn depths? (what degree and what they affect)


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, - First degree: epidermis only, local pain/ erythema
- Second degree: superficial partial thickness (epidermis and some dermis),
deep partial thickness (epidermis and dermis)
- Third degree: full thickness (epidermis, dermis, and subcutaneous tissue)
- Fourth degree: full thickness and deeper tissue (epidermis, dermis,
subcutaneous tissue, tendons, muscle, bone)




What is an indicator/ symptom that shock is progressing?


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the early stage of septic shock have warm and dry skin, the client's cool
and clammy skin indicates that shock is progressing.




What are some examples of cell injuries?


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apoptosis, necrosis, gangrene




A chronic lung disease patient has a sudden onset of agitation and confusion, which
action would be a priority?


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assess oxygenation using the pulse ox

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