Nurs 2873 Exam II shock/sepsis/mods/sirs | UPDATED
Questions with 100% Verified Answers
Q1: A nurse is caring for a patient with multiple organ dysfunction
syndrome (MODS) caused by sepsis. Which is the most
appropriate communication with the caregiver when further
treatment is futile?
A: Discuss realistic goals and likely outcomes.
Q2: What is the goal in the care of a systemic inflammatory
response syndrome (SIRS) patient whose bilirubin level is 3
mg/dL?
A: Patient will maintain adequate tissue perfusion.
Q3: An elevation of the bilirubin indicates impaired
____________function.
A: liver
Q4: Bilirubin range
A: 0.2-1.2mg
3-21mmol/l
Q5: Which criterion is a clinical manifestation of sepsis?
A: infection
Q6: the nurse would expect hyperglycemia, fever, and
hypotension as clinical manifestations of _____________
A: Sepsis
Q7: The nurse would recognize which clinical manifestation as
suggestive of sepsis?
A: Hyperglycemia in the absence of diabetes
Q8: Oliguria, not _____________, typically accompanies sepsis, along
with tachypnea and tachycardia
A: diuresis
Q9: When caring for a patient with sepsis and a suspected
infection, which is the priority nursing intervention?
A: Initiate broad spectrum antibiotics.
,Q10: A patient diagnosed with septic shock receives aggressive
fluid resuscitation. The nurse performs a passive leg raise
challenge to assess which process?
A: Patient responsiveness to fluids
Q11: Performing a passive leg raise provides the nurse with an
indication of patient responsiveness to fluids. If the passive leg
raise is _______________, the patient is fluid-responsive and should
receive additional fluids. If the passive leg raise is
___________________, the patient is not fluid-responsive, and a
vasopressor should be started
A: positive
negative
Q12: In what order does the nurse recall the steps that cause a
decrease in preload in patients with systemic inflammatory
response syndrome (SIRS)?
A: n patients with systemic inflammatory response syndrome (SIRS), there is an increase in
capillary permeability caused by endothelial damage. Hence there is shifting of albumin
and fluid from the vascular space. As a result, there is a reduction in venous return, which
leads to a decrease in preload.
Q13: A patient diagnosed with septic shock receives aggressive
fluid resuscitation. In order to have the patient perform a
passive leg raise, in what order should the nurse perform the
following actions?
A: When performing a passive leg raise, the patient is placed supine, and the nurse then
raises the patient's legs to 45 degrees. The nurse measures responsiveness in one to two
minutes by measuring cardiac output. The nurse then evaluates the patient for
hemodynamic improvement.
Q14: A nurse is assessing a patient admitted with septic shock. The
nurse notes the patient is anxious, confused, and agitated. The
nurse knows that these symptoms are signs of impairment of
which process?
A: Cerebral perfusion
Q15: in septic shock Decreased kidney perfusion results in
_______________and water retention and decreased urine output.
A: sodium
Q16: Signs of respiratory failure in septic shock include tachypnea,
crackles, and __________________.
, A: cyanosis
Q17: Signs of _____________________dysfunction in septic shock include
tachycardia and hypotension
A: cardiovascular
Q18: A patient diagnosed with multiple organ dysfunction
syndrome is developing pulmonary edema. The nurse realizes
that which factor is the cause of the edema?
A: Uncontrolled systemic inflammation
Q19: During sepsis, early activation of immune cells is followed by
down-regulation of their activity, which leads to a state of
immune deficiency and increased risk of ______________________.
A: superinfection
Q20: Durning sepsis Proinflammatory mediators increase capillary
permeability, resulting in ______________in organs such as the lungs.
This is why the patient is developing pulmonary edema.
A: edema
Q21: In sepsis Evidence of tissue _________________will occur in the
gastrointestinal tract and the brain first.
A: hypoxia
Q22: In sepsis Unregulated _________________is uncontrollable cellular
death. Pulmonary edema is not a symptom of unregulated
apoptosis.
A: apoptosis
Q23: Microvascular coagulopathy will manifest as abnormal clotting
factors and ___________________production.
A: microembolism
Q24: Which cardiovascular change occurs in a patient with systemic
inflammatory response syndrome (SIRS)?
A: Warm skin
Q25: A patient with systemic inflammatory response syndrome
(SIRS) becomes warm because the patient's skin is being
perfused, whereas other areas may have
____________________shunted away from them. The patient is
Questions with 100% Verified Answers
Q1: A nurse is caring for a patient with multiple organ dysfunction
syndrome (MODS) caused by sepsis. Which is the most
appropriate communication with the caregiver when further
treatment is futile?
A: Discuss realistic goals and likely outcomes.
Q2: What is the goal in the care of a systemic inflammatory
response syndrome (SIRS) patient whose bilirubin level is 3
mg/dL?
A: Patient will maintain adequate tissue perfusion.
Q3: An elevation of the bilirubin indicates impaired
____________function.
A: liver
Q4: Bilirubin range
A: 0.2-1.2mg
3-21mmol/l
Q5: Which criterion is a clinical manifestation of sepsis?
A: infection
Q6: the nurse would expect hyperglycemia, fever, and
hypotension as clinical manifestations of _____________
A: Sepsis
Q7: The nurse would recognize which clinical manifestation as
suggestive of sepsis?
A: Hyperglycemia in the absence of diabetes
Q8: Oliguria, not _____________, typically accompanies sepsis, along
with tachypnea and tachycardia
A: diuresis
Q9: When caring for a patient with sepsis and a suspected
infection, which is the priority nursing intervention?
A: Initiate broad spectrum antibiotics.
,Q10: A patient diagnosed with septic shock receives aggressive
fluid resuscitation. The nurse performs a passive leg raise
challenge to assess which process?
A: Patient responsiveness to fluids
Q11: Performing a passive leg raise provides the nurse with an
indication of patient responsiveness to fluids. If the passive leg
raise is _______________, the patient is fluid-responsive and should
receive additional fluids. If the passive leg raise is
___________________, the patient is not fluid-responsive, and a
vasopressor should be started
A: positive
negative
Q12: In what order does the nurse recall the steps that cause a
decrease in preload in patients with systemic inflammatory
response syndrome (SIRS)?
A: n patients with systemic inflammatory response syndrome (SIRS), there is an increase in
capillary permeability caused by endothelial damage. Hence there is shifting of albumin
and fluid from the vascular space. As a result, there is a reduction in venous return, which
leads to a decrease in preload.
Q13: A patient diagnosed with septic shock receives aggressive
fluid resuscitation. In order to have the patient perform a
passive leg raise, in what order should the nurse perform the
following actions?
A: When performing a passive leg raise, the patient is placed supine, and the nurse then
raises the patient's legs to 45 degrees. The nurse measures responsiveness in one to two
minutes by measuring cardiac output. The nurse then evaluates the patient for
hemodynamic improvement.
Q14: A nurse is assessing a patient admitted with septic shock. The
nurse notes the patient is anxious, confused, and agitated. The
nurse knows that these symptoms are signs of impairment of
which process?
A: Cerebral perfusion
Q15: in septic shock Decreased kidney perfusion results in
_______________and water retention and decreased urine output.
A: sodium
Q16: Signs of respiratory failure in septic shock include tachypnea,
crackles, and __________________.
, A: cyanosis
Q17: Signs of _____________________dysfunction in septic shock include
tachycardia and hypotension
A: cardiovascular
Q18: A patient diagnosed with multiple organ dysfunction
syndrome is developing pulmonary edema. The nurse realizes
that which factor is the cause of the edema?
A: Uncontrolled systemic inflammation
Q19: During sepsis, early activation of immune cells is followed by
down-regulation of their activity, which leads to a state of
immune deficiency and increased risk of ______________________.
A: superinfection
Q20: Durning sepsis Proinflammatory mediators increase capillary
permeability, resulting in ______________in organs such as the lungs.
This is why the patient is developing pulmonary edema.
A: edema
Q21: In sepsis Evidence of tissue _________________will occur in the
gastrointestinal tract and the brain first.
A: hypoxia
Q22: In sepsis Unregulated _________________is uncontrollable cellular
death. Pulmonary edema is not a symptom of unregulated
apoptosis.
A: apoptosis
Q23: Microvascular coagulopathy will manifest as abnormal clotting
factors and ___________________production.
A: microembolism
Q24: Which cardiovascular change occurs in a patient with systemic
inflammatory response syndrome (SIRS)?
A: Warm skin
Q25: A patient with systemic inflammatory response syndrome
(SIRS) becomes warm because the patient's skin is being
perfused, whereas other areas may have
____________________shunted away from them. The patient is
