SLCC Nursing ~ Med-Surg 3 ~ unit 3 test
UPDATED ACTUAL Questions and
CORRECT Answers
Hypovolemic shock - CORRECT ANSWER - Hypovolemic shock occurs from inadequate
fluid volume in the intravascular space, leads to decreased tissue perfusion and initiation of the
general shock response. Hypovolemic shock is the most commonly occurring form of shock.
Hypovolemic shock causes - CORRECT ANSWER - loss of whole blood due to
hemorrhage
Loss of blood plasma due to burns
Loss of interstitial fluids due to diaphoresis, diabetes, emesis, diuretics
Hypovolemic shock begins to develop when intravascular volume has decreased by
approximately 15%.
Hypovolemic Shock signs and symptoms - CORRECT ANSWER - Poor skin turgor
Increased thirst
Oliguria
Tachycardia
Hypovolemic shock interventions - CORRECT ANSWER - Nursing interventions include
minimizing fluid loss, administering volume replacement, assessing response to therapy,
providing comfort and emotional support, and preventing and maintaining surveillance for
complications.
Stages of Shock - CORRECT ANSWER - 1.During the initial stage, cardiac output (CO) is
decreased, and tissue perfusion is threatened.
, 2.Compensatory stage begins as the body's homeostatic mechanisms attempt to maintain CO,
blood pressure, and tissue perfusion.
3.Progressive stage, the compensatory mechanisms begin failing to meet tissue metabolic needs,
and the shock cycle is perpetuated.
4.Refractory stage, shock becomes unresponsive to therapy and is considered irreversible. Point
of no return
What MAP defines shock - CORRECT ANSWER - The client with a MAP less than 60
mm Hg or with evidence of global tissue hypo perfusion is considered to be in a shock state.
What is the most common type of shock - CORRECT ANSWER - Hypovolemic shock is
the most commonly occurring form of shock.
What shock types are distributive - CORRECT ANSWER - 1.Septic
2.Anaphylactic
3.Neurogenic
Cardiogenic Shock - CORRECT ANSWER - Cardiogenic shock is the result of failure of
the heart to effectively pump blood forward
It can occur with dysfunction of the right or the left ventricle, or both
The lack of adequate pumping function leads to decreased tissue perfusion and circulatory failure
Cardiogenic Shock Signs and Symptoms - CORRECT ANSWER - The patient may
complain of chest pain. Tachycardia develops to compensate for the decrease in CO. The
respiratory rate increases to improve oxygenation.
ABG values indicate respiratory alkalosis.
UPDATED ACTUAL Questions and
CORRECT Answers
Hypovolemic shock - CORRECT ANSWER - Hypovolemic shock occurs from inadequate
fluid volume in the intravascular space, leads to decreased tissue perfusion and initiation of the
general shock response. Hypovolemic shock is the most commonly occurring form of shock.
Hypovolemic shock causes - CORRECT ANSWER - loss of whole blood due to
hemorrhage
Loss of blood plasma due to burns
Loss of interstitial fluids due to diaphoresis, diabetes, emesis, diuretics
Hypovolemic shock begins to develop when intravascular volume has decreased by
approximately 15%.
Hypovolemic Shock signs and symptoms - CORRECT ANSWER - Poor skin turgor
Increased thirst
Oliguria
Tachycardia
Hypovolemic shock interventions - CORRECT ANSWER - Nursing interventions include
minimizing fluid loss, administering volume replacement, assessing response to therapy,
providing comfort and emotional support, and preventing and maintaining surveillance for
complications.
Stages of Shock - CORRECT ANSWER - 1.During the initial stage, cardiac output (CO) is
decreased, and tissue perfusion is threatened.
, 2.Compensatory stage begins as the body's homeostatic mechanisms attempt to maintain CO,
blood pressure, and tissue perfusion.
3.Progressive stage, the compensatory mechanisms begin failing to meet tissue metabolic needs,
and the shock cycle is perpetuated.
4.Refractory stage, shock becomes unresponsive to therapy and is considered irreversible. Point
of no return
What MAP defines shock - CORRECT ANSWER - The client with a MAP less than 60
mm Hg or with evidence of global tissue hypo perfusion is considered to be in a shock state.
What is the most common type of shock - CORRECT ANSWER - Hypovolemic shock is
the most commonly occurring form of shock.
What shock types are distributive - CORRECT ANSWER - 1.Septic
2.Anaphylactic
3.Neurogenic
Cardiogenic Shock - CORRECT ANSWER - Cardiogenic shock is the result of failure of
the heart to effectively pump blood forward
It can occur with dysfunction of the right or the left ventricle, or both
The lack of adequate pumping function leads to decreased tissue perfusion and circulatory failure
Cardiogenic Shock Signs and Symptoms - CORRECT ANSWER - The patient may
complain of chest pain. Tachycardia develops to compensate for the decrease in CO. The
respiratory rate increases to improve oxygenation.
ABG values indicate respiratory alkalosis.
