CHAPTER 14 OVERVIEW OF SHOCK AND SEPSIS
QUESTIONS WITH DETAILED VERIFIED AND 100%
ACCURATE ANSWERS
The nurse is preparing an educational session on sepsis. Which should
the nurse include as a major risk factor for the development of this
health problem?
1) Immunosuppression
2) Elevated temperature
3) Pneumococcal bacteria
4) Leukocytosis on the complete blood count Correct Answers 1)
Immunosuppression
The nurse identifies the nursing diagnosis of Ineffective Peripheral
Tissue Perfusion as being appropriate for a patient with septicemia.
Which intervention will address this patient's health problem?
1) Monitor for cyanosis.
2) Monitor heart rate every hour.
3) Assess temperature every four hours.
4) Monitor pupil reactions every eight hours. Correct Answers 1)
Monitor for cyanosis.
An older adult patient is recovering in the intensive care unit (ICU) from
septicemia. Which intervention will help prevent further infection for
this patient?
1) Provide oral and skin care
2) Implement sterile wound care
,3) Encourage turn, cough, and deep breathe every shift
4) Place the Foley drainage on the bed at the patient's feet Correct
Answers 1) Provide oral and skin care
A patient is prescribed epinephrine for the prevention of anaphylactic
shock. The patient states, "I thought shock was about heart failure."
Which response by the nurse is most appropriate?
1) "There are many kinds of shock that also include infection, nervous
system damage, and loss of blood."
2) "Heart failure is the most serious kind of shock; others include
infection, kidney failure, and loss of blood."
3) "There are many kinds of shock: heart failure, nervous system
damage, loss of blood, and respiratory failure."
4) "Allergic response is the most fatal type of shock; other types involve
loss of blood, heart failure, and liver failure." Correct Answers 1) "There
are many kinds of shock that also include infection, nervous system
damage, and loss of blood."
An older adult patient is experiencing hypovolemic shock. Which is the
priority intervention for this patient?
1) Assessing the cause of bleeding
2) Providing replacement of volume
3) Establishing invasive cardiac monitoring
4) Administering analgesics for control of pain Correct Answers 3)
Establishing invasive cardiac monitoring
, The nurse has just completed the assessment of a patient admitted with a
gunshot wound to the femoral artery. Which is the priority nursing
diagnosis for this patient?
1) Ineffective Coping
2) Deficient Fluid Volume
3) Decreased Cardiac Output
4) Ineffective Airway Clearance Correct Answers 3) Decreased Cardiac
Output
The nurse is administering albumin 5% to a patient in shock. Which
nursing action is appropriate when assessing this patient?
1) Auscultate breath sounds for crackles
2) Auscultate breath sounds for hyperresonance
3) Auscultate breath sounds for inspiratory stridor
4) Auscultate for an absence of breath sounds in the lower lobes Correct
Answers 1) Auscultate breath sounds for crackles
The nurse explains the purpose of an infusion of albumin 5% to a patient
recovering from hypovolemic shock. Which statement indicates that the
patient understands the instructions?
1) "It is a protein that pulls water into my blood vessels."
2) "It is a protein that causes my kidneys to conserve fluid."
3) "It is a super-concentrated salt solution that helps me conserve body
fluid."
QUESTIONS WITH DETAILED VERIFIED AND 100%
ACCURATE ANSWERS
The nurse is preparing an educational session on sepsis. Which should
the nurse include as a major risk factor for the development of this
health problem?
1) Immunosuppression
2) Elevated temperature
3) Pneumococcal bacteria
4) Leukocytosis on the complete blood count Correct Answers 1)
Immunosuppression
The nurse identifies the nursing diagnosis of Ineffective Peripheral
Tissue Perfusion as being appropriate for a patient with septicemia.
Which intervention will address this patient's health problem?
1) Monitor for cyanosis.
2) Monitor heart rate every hour.
3) Assess temperature every four hours.
4) Monitor pupil reactions every eight hours. Correct Answers 1)
Monitor for cyanosis.
An older adult patient is recovering in the intensive care unit (ICU) from
septicemia. Which intervention will help prevent further infection for
this patient?
1) Provide oral and skin care
2) Implement sterile wound care
,3) Encourage turn, cough, and deep breathe every shift
4) Place the Foley drainage on the bed at the patient's feet Correct
Answers 1) Provide oral and skin care
A patient is prescribed epinephrine for the prevention of anaphylactic
shock. The patient states, "I thought shock was about heart failure."
Which response by the nurse is most appropriate?
1) "There are many kinds of shock that also include infection, nervous
system damage, and loss of blood."
2) "Heart failure is the most serious kind of shock; others include
infection, kidney failure, and loss of blood."
3) "There are many kinds of shock: heart failure, nervous system
damage, loss of blood, and respiratory failure."
4) "Allergic response is the most fatal type of shock; other types involve
loss of blood, heart failure, and liver failure." Correct Answers 1) "There
are many kinds of shock that also include infection, nervous system
damage, and loss of blood."
An older adult patient is experiencing hypovolemic shock. Which is the
priority intervention for this patient?
1) Assessing the cause of bleeding
2) Providing replacement of volume
3) Establishing invasive cardiac monitoring
4) Administering analgesics for control of pain Correct Answers 3)
Establishing invasive cardiac monitoring
, The nurse has just completed the assessment of a patient admitted with a
gunshot wound to the femoral artery. Which is the priority nursing
diagnosis for this patient?
1) Ineffective Coping
2) Deficient Fluid Volume
3) Decreased Cardiac Output
4) Ineffective Airway Clearance Correct Answers 3) Decreased Cardiac
Output
The nurse is administering albumin 5% to a patient in shock. Which
nursing action is appropriate when assessing this patient?
1) Auscultate breath sounds for crackles
2) Auscultate breath sounds for hyperresonance
3) Auscultate breath sounds for inspiratory stridor
4) Auscultate for an absence of breath sounds in the lower lobes Correct
Answers 1) Auscultate breath sounds for crackles
The nurse explains the purpose of an infusion of albumin 5% to a patient
recovering from hypovolemic shock. Which statement indicates that the
patient understands the instructions?
1) "It is a protein that pulls water into my blood vessels."
2) "It is a protein that causes my kidneys to conserve fluid."
3) "It is a super-concentrated salt solution that helps me conserve body
fluid."
