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NURS 401- Shock Questions With Complete Solutions

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NURS 401- Shock Questions With Complete Solutions A nurse practitioner visits a patient in a cardiac care unit. She assesses the patient for shock, knowing that the primary cause of cardiogenic shock is: Valvular damage. Cardiomyopathies. A myocardial infarction. Arrhythmias. Myocardial in...

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  • November 13, 2024
  • 32
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 401
  • NURS 401
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NURS 401- Shock Questions With Complete
Solutions

A nurse practitioner visits a patient in a cardiac care unit. She assesses the patient for shock,

knowing that the primary cause of cardiogenic shock is:

Valvular damage.

Cardiomyopathies.

A myocardial infarction.


Arrhythmias. Myocardial infarction




Which type of shock occurs from an antigen-antibody response?

Septic

Anaphylactic

Neurogenic


Cardiogenic Anaphylactic




A client presents to the community health office experiencing rapidly increasing symptoms of

anaphylactic shock. Which nursing action would be completed first?

Obtain the name and information of the allergic substance.

Administer an epinephrine injection as ordered by the health care provider.

, NURS 401- Shock Questions With Complete
Solutions
Obtain a health history.


Call 911. Administer an epinephrine injection as ordered by the health care provider.




A nurse is assisting with the orientation of a newly hired graduate. Which of the following

behaviors of the graduate nurse would the other nurse identify as not adhering to strict infection

control practices?

Rubbing the hands together with antiseptic solution until dry when exiting the client's room

Wearing clean gloves when inserting a needle in preparation of starting intravenous fluids

Hanging tape on the bedside table when changing a wet-to-dry sterile dressing

Swabbing the port of a central line for 15 seconds with an alcohol pad prior to medication

administration Hanging tape on the bedside table when changing a wet-to-dry sterile

dressing




The central venous pressure (CVP) reading in hypovolemic shock is typically which of the

following?

Low

High

Normal


Unable to measure Low

, NURS 401- Shock Questions With Complete
Solutions

The nurse is caring for a motor vehicle accident client who is unresponsive on arrival to the

emergency department. The client has numerous fractures, internal abdominal injuries, and large

lacerations on the head and torso. The family arrives and seeks update on the client's condition. A

family member asks, "What causes the body to go into shock?" Given the client's condition,

which statement is most correct?

"The client is in shock because the blood volume has decreased in the system."

"The client is in shock because the heart is unable to circulate the body fluids."

"The client is in shock because your loved one is not responding and brain dead."


"The client is in shock because all peripheral blood vessels have massively dilated." "The

client is in shock because the blood volume has decreased in the system."




Which positioning strategy should be used for a client diagnosed with hypovolemic shock?

Supine

Modified Trendelenburg

Prone


Semi-Fowler Modified Trendelenburg

, NURS 401- Shock Questions With Complete
Solutions
During preshock, the compensatory stage of shock, the body, through sympathetic nervous

system stimulation, will release catecholamines to shunt blood from one organ to another. Which

of the following organs will always be protected?

Liver

Kidneys

Lungs


Brain Brain




A nurse is caring for a client in a critical care unit. With what type of shock does a client

experience a pooling of blood flow to the peripheral blood vessels?

distributive

cardiogenic

hypovolemic


organ failure distributive




The nurse knows when the cardiovascular system becomes ineffective in maintaining an

adequate mean arterial pressure (MAP). Select the reading below that indicates tissue

hypoperfusion.

60 mm Hg

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