Shock Stages and Management, Exams of Advanced Education

Key concepts related to the different stages and types of shock, including compensated stage, preshock stage, irreversible shock, hypovolemic shock, cardiogenic shock, distributive shock, obstructive shock, septic shock, and neurogenic shock. It also discusses the physiological responses to shock, such as increased respiratory rate, decreased blood pressure, decreased cardiac output, and increased vasodilation. Information on the assessment and management of patients in shock, including interventions like fluid replacement, vasopressor administration, and monitoring of vital signs and urine output. It covers important nursing considerations and patient education related to shock, making it a valuable resource for healthcare professionals.

Typology: Exams

2024/2025

Available from 10/18/2024

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Concepts Ch. 9 Davis Advantage
Compensated stage of shock
Increased Respiratory rate
Preshock Stage
Anxious, Restless, Irritable
Irreversible shock
Systolic Blood Pressure Below 60 Mm Hg
Progressive shock
Urine Output Less Than 20 ML/Hr
Hypovolemic shock
Decreased blood volume
Cardiogenic shock
Decreased Cardiac Output
Distributive shock
Increased vasodilation
Obstructive shock
Decreased Blood Flow To Or From The Heart
Septic Shock
From an infection
Neurogenic shock
From a spinal cord injury
The nurse is caring for a patient in the emergency department reporting severe chest pain. Which
additional finding would indicate the patient is in cardiogenic shock? Select all that apply.
Distended Jugular Vein, Pulse 126, Coarse crackles in lower lobes of lung
The nurse is caring for a patient in the emergency department with a stab wound to the left lower leg.
The wound is actively bleeding, and vital signs are: heart rate 110 beats/min, blood pressure 94/61 mm
Hg, and SpO2 98% on room air. Which intervention should the nurse perform first?
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Concepts Ch. 9 Davis Advantage

Compensated stage of shock Increased Respiratory rate Preshock Stage Anxious, Restless, Irritable Irreversible shock Systolic Blood Pressure Below 60 Mm Hg Progressive shock Urine Output Less Than 20 ML/Hr Hypovolemic shock Decreased blood volume Cardiogenic shock Decreased Cardiac Output Distributive shock Increased vasodilation Obstructive shock Decreased Blood Flow To Or From The Heart Septic Shock From an infection Neurogenic shock From a spinal cord injury The nurse is caring for a patient in the emergency department reporting severe chest pain. Which additional finding would indicate the patient is in cardiogenic shock? Select all that apply. Distended Jugular Vein, Pulse 126, Coarse crackles in lower lobes of lung The nurse is caring for a patient in the emergency department with a stab wound to the left lower leg. The wound is actively bleeding, and vital signs are: heart rate 110 beats/min, blood pressure 94/61 mm Hg, and SpO2 98% on room air. Which intervention should the nurse perform first?

Place pressure dressing on wound The nurse reviews the effects of epinephrine on the body with a colleague. Which statement indicates a need for further teaching? Epinephrine causes decrease blood pressure The nurse is reviewing forms of shock. Which of the following are not forms of distributive shock? Cardiogenic Shock The nurse is reviewing the physiological response to shock. The nurse determines that the response to shock results from which mechanism? Sympathetic nervous system stimulation The nurse is caring for a patient diagnosed with septic shock. The patient's vitals are: blood pressure 84/64, heart rate 134, respiratory rate 20, and temperature 97.4° F (36.3° C). The nurse should understand the patient is in which phase of shock? Progressive The nurse is assisting in the care of a patient suffering from hypovolemic shock. Which order should the nurse question? Place the patient in trendelenburg position A patient in hypovolemic shock is prescribed a vasopressor. Which interventions would the nurse perform when administering this medication? Monitor intake and output, Evaluate arterial blood pressure reading,Provide fluid replacement before giving the medication The nurse is caring for a patient who has returned from a magnetic resonance imaging (MRI) scan with contrast. Which of the following findings would indicate an anaphylactic reaction to the intravenous (IV) contrast? Select all that apply. Hypotension, urticaria, pruritus A 30-year-old patient is transported to the emergency department for a gunshot wound to the right upper quadrant of the abdomen. Patient has no current documented health conditions. The nurse reviews the patient's assessment data to prepare the plan of care. Complete the bowtie by dragging and dropping the type of shock the patient is most likely experiencing, two interventions the nurse would perform/anticipate related to the condition, and two parameters the nurse would monitor. Condition most likely experiencing : Hypovolemic Parameters to monitor for : vitals and urine output Actions to take : prepare for emergency surgery, type and cross for four units packed red blood cells The nurse is assigned to the following patients. Which patient should the nurse see first? A pt. who fell of a ladder with a BP of 84/55, pulse of 54 and respirations of 14