Chapter 54 Shock and Multisystem Failure

Chapter 54  Shock and Multisystem Failure

Complete Chapter Questions And Answers
 

Sample Questions

1.
An understanding of the pathophysiologic rationale behind shock is necessary for sound nursing practice. Which of the following statements best describes the pathophysiology of shock?
A)
Blood is shunted from vital organs to peripheral areas of the body.
B)
Cells lack an adequate blood supply and are deprived of oxygen and nutrients.
C)
Circulating blood volume is decreased.
D)
Hemorrhage occurs as a result of trauma.

2.
The nurse is assessing an acutely ill patient. When prioritizing the patient’s care, the nurse should recognize that the patient is at risk for hypovolemic shock when:
A)
Fluid circulating in the blood vessels decreases.
B)
Cardiac output is increased.
C)
Blood pressure increases.
D)
Pulse is fast and bounding.

3.
The nurse is admitting a patient with a diagnosis of a gastrointestinal bleed who is in the compensatory stage of shock. Which of the following is an early sign that accompanies compensatory shock?
A)
Increased urine output
B)
Decreased heart rate
C)
Hyperactive bowel sounds
D)
Cool, clammy skin

4.
The nurse is caring for a patient in liver failure who is exhibiting signs and symptoms of hypovolemic shock. The nurse should anticipate that the health care provider will order the administration of what crystalloid for the management of this patient?
A)
Lactated Ringer’s
B)
Albumin
C)
Dextran
D)
3% NaCl

5.
A patient is receiving dopamine, a vasoactive drug used for shock, to increase stroke volume. What should the nurse be aware of when monitoring a vasoactive drug?
A)
The drug should be discontinued immediately after blood pressure increases.
B)
The drug dose should be weaned down prior to discontinuing.
C)
The drug may cause respiratory alkalosis.
D)
The drug reduces oxygen demands of the heart.

Answer Key

1.
B
2.
A
3.
D
4.
A
5.
B