Nclex Questions for Shock - Critical Care Questions with Correct Answers 100%

What will the nurse identify as symptoms of hypovolemic shock in a patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. -Restlessness -Decrease in blood pressure of 20 mm Hg when the patient sits up -Capillary refill time greater than 3 seconds Which laboratory finding should cause the nurse to suspect that a patient is developing hypovolemic shock? Metabolic acidosis validated by arterial blood gases The nurse recognizes that which patient would be most likely to develop hypovolemic shock? A patient with: Ascites Which finding indicates that a patient is experiencing increased peripheral resistance and vasoconstriction? Pale, cool extremities with decreased pulses Which solution would be the most appropriate initial volume replacement for a patient with severe GI bleeding? A liter of Ringer's lactate (RL) over 15 minutes Which life-threatening complications would the nurse anticipate developing in the patient being treated for hypovolemic shock? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. - Renal insufficiency - Cerebral ischemia The nurse, caring for a patient in hypovolemic shock, will not utilize a hypotonic solution for fluid resuscitation because hypotonic solutions: Do not stay in the intravascular space long enough to expand the circulating blood volume The nurse should warm intravenous fluids when a rapid infuser is being utilized to prevent which complication? Hypothermia Which finding indicates that rehydration is complete and hypovolemic shock has been successfully treated in a patient? CVP = 8 mm Hg A patient is demonstrating pulmonary edema, hypotension, and delayed capillary refill. The nurse suspects the patient is experiencing which type of shock? Cardiogenic A patient, experiencing vasodilation, is diagnosed with distributive shock. The nurse will assess the patient for which etiologies? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. -Sepsis -Spinal cord injury -Anaphylaxis The nurse is concerned that a patient is at risk for developing obstructive shock because of which assessment findings? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. -Age 80 -History of atrial fibrillation A patient is experiencing an anaphylactic reaction to a medication. The nurse is concerned that the patient will develop distributive shock because: The release of histamine causes vasodilation with plasma leakage. A patient is diagnosed with cardiac tamponade. When planning care, the nurse will include interventions to address which type of shock? Obstructive