NUR 2212 F. H. Exam 3 Graded A+
Study online at https://quizlet.com/_hph7uv
1. What is the pathophysiology of shock?: Inadequate tissue perfusion. Cells are lacking oxygen
and nutrients.
2. What are the S&S of Neurogenic shock? SATA
1-Increased pulse pressure
2-Hypotension (systolic < 80)
3-Hypertension
4-Skin warm, pink, and dry
5-Bradicardia (<60)
6-Bladder dysfunction: 2-Hypotension (systolic <80)
4-Skin warm, pink, and dry
5-Bradycardia (<60)
6-Bladder dysfunction
3. A client has a functional transection of the spinal cord at C7-8, resulting in
spinal shock. Which clinical indicators does the nurse expect to identify when
assessing the client immediately after the injury? SATA
1-Spasticity
2-Incontinence
3-Flaccid paralysis
4-Respiratory failure
5-Lack of reflexes below the injury: 3-Flaccid paralysis
5-Lack of reflexes below the injury
4. What are the nutritional needs during shock and why?
What is the rationale if increased nutritional needs?: More Calories. Fight or flight response
increase the metabolic demands. Catecholamines will increase metabolic demands and will require more calories.
5. What is the role of ADH during shock and its consequences in the UOP?: The
role of ADH is to retain fluids (water) and decreased UOP.
6. What is the priority nursing considerations for the administration of IV
Dopamine infusion?: -Dopamine is a catecholamine (vasoconstriction)
-Dopamine Increases BP and require frequent VS monitoring
-Give through central line and monitor ( if infiltrated can cause vasoconstriction of the tissue and necrosis)
-Dopamine must be titrated slow.
1/4
Study online at https://quizlet.com/_hph7uv
1. What is the pathophysiology of shock?: Inadequate tissue perfusion. Cells are lacking oxygen
and nutrients.
2. What are the S&S of Neurogenic shock? SATA
1-Increased pulse pressure
2-Hypotension (systolic < 80)
3-Hypertension
4-Skin warm, pink, and dry
5-Bradicardia (<60)
6-Bladder dysfunction: 2-Hypotension (systolic <80)
4-Skin warm, pink, and dry
5-Bradycardia (<60)
6-Bladder dysfunction
3. A client has a functional transection of the spinal cord at C7-8, resulting in
spinal shock. Which clinical indicators does the nurse expect to identify when
assessing the client immediately after the injury? SATA
1-Spasticity
2-Incontinence
3-Flaccid paralysis
4-Respiratory failure
5-Lack of reflexes below the injury: 3-Flaccid paralysis
5-Lack of reflexes below the injury
4. What are the nutritional needs during shock and why?
What is the rationale if increased nutritional needs?: More Calories. Fight or flight response
increase the metabolic demands. Catecholamines will increase metabolic demands and will require more calories.
5. What is the role of ADH during shock and its consequences in the UOP?: The
role of ADH is to retain fluids (water) and decreased UOP.
6. What is the priority nursing considerations for the administration of IV
Dopamine infusion?: -Dopamine is a catecholamine (vasoconstriction)
-Dopamine Increases BP and require frequent VS monitoring
-Give through central line and monitor ( if infiltrated can cause vasoconstriction of the tissue and necrosis)
-Dopamine must be titrated slow.
1/4
