Emergency Nursing Orientation 3.0: Shock
Emergencies
Which type of shock is typically associated with acute spinal cord disruption from
trauma or spinal anesthesia? - ANS-Neurogenic shock
Which disorder may cause hypovolemic shock? - ANS-Burns
In a pediatric patient, which finding is an early sign of shock? - ANS-Delayed capillary
refill
If a patient's pH is less than 7.1, what is the most appropriate initial treatment? -
ANS-Ensure adequate oxygenation and ventilation.
Which statement accurately characterizes shock in a pregnant patient? - ANS-The risk
of fetal distress exists despite maternal stability.
When a patient is in the compensatory stage of shock, the body preferentially maintains
blood flow to which organs? - ANS-Heart and brain
You are caring for a patient in the emergency department who is extremely anxious.
She is short of breath and slightly nauseated. She has large red hives all over her body
and reports that her skin is burning and itchy. She is flushed, hypotensive, and
tachycardic. What type of shock should you suspect? - ANS-Anaphylactic shock
Emergency needle thoracentesis is a treatment for which type of shock? -
ANS-Obstructive shock
Which parameter is a resuscitation endpoint for shock? - ANS-Central venous pressure
of 10 cm H2O
Which disorder is a cause of cardiogenic shock? - ANS-Dysrhythmias
During times of decreased tissue perfusion, the body shunts blood away from which
organ? - ANS-Kidneys
Why do geriatric patients respond differently to shock than younger patients? -
ANS-Geriatric patients have decreased physiologic reserves.
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