Exam 4: NSG 430/ NSG430 (New 2024/ 2025 Update) Adult Health Nursing II Complete Guide| Qs & As | 100% Correct| Grade A (Verified Answers)- GCU

Exam 4: NSG 430/ NSG430 (New 2024/ 2025 Update) Adult Health Nursing II Complete Guide| Qs & As | 100% Correct| Grade A (Verified Answers)- GCU Q: Anaphylactic shock Answer: acute, life-threatening hypersensitivity (allergic) reaction to a sensitizing substance (e.g., drug, chemical, vaccine, food, insect venom) = massive vasodilation Q: anaphylactic shock clinical manifestations Answer: Tachycardia ‘ CO “ CVP, PAWP Chest pain Third spacing of fluid Shortness of breath Edema of larynx and epiglottis Wheezing Stridor Rhinitis Incontinence Flushing Pruritus Urticaria Angioedema Anxiety Feeling of impending doom Confusion “ LOC Metallic taste Cramping Abdominal pain Nausea Vomiting Diarrhea Sudden onset History of allergies Exposure to contrast media Q: Septic shock Answer: subset of sepsis. life-threatening syndrome in response to an infection. persistent hypotension, despite adequate fluid resuscitation, and inadequate tissue perfusion that results in tissue hypoxia Q: septic shock clinical manifestations Answer: Tachycardia “/‘ Temperature 100.4, 96.8 Myocardial dysfunction Biventricular dilation “ Ejection fraction Hyperventilation Crackles Respiratory alkalosis ’ respiratory acidosis Hypoxemia Respiratory failure ARDS Pulmonary hypertension “ Urine output Warm and flushed ’ cool and mottled (late) Change in mental status (e.g., confusion) Agitation Coma (late) GI bleeding Paralytic ileus ‘/“ WBC: 12,000, 4,000 “ Platelets ‘ Lactate 4 = bad ‘ Blood glucose ‘ Procalcitonin ‘ Urine specific gravity “ Urine Na+ Positive blood cultures Q: Septic shock has 3 major pathophysiologic effects Answer: vasodilation, maldistri- bution of blood flow, and myocardial depression. Q: Obstructive shock Answer: develops when a physical obstruction to blood flow occurs with a decreased CO Q: examples of obstructive shock Answer: cardiac tamponade, tension pneumothorax, superior vena cava syndrome, abdominal compartment syndrome, Pulmonary em- bolism and right ventricular thrombi Q: obstructive shock Answer: Tachycardia “ BP “ Preload “ CO ‘ SVR, CVP Tachypnea ’ bradypnea (late) Shortness of breath “ Urine output Pallor Cool, clammy “ Cerebral perfusion: • Anxiety • Confusion • Agitation “ To absent bowel sounds o Decreased CO, increased afterload o JVD o Pulsus paradoxus Q: Diagnostic Criteria for Sepsis Answer: - Temp 100.9 or 97 - HR 90 - BP 140 (absence of diabetes) - systolic BP 100 - RR 22 - WBC 12,000 or 4,000 - increased CRP - INR 1.5 - PTT60 sec - Creatine increase 0.5 mg/dL - Platelet 100,000 uL - lactate 1 (4= really bad)