Shock & Burns

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12 terms Andrea_Rodriguez12 Preview Sherpath Lesson - Systemic Inflamm...12 terms sobsviolentlyPreview Lewis C 20 terms And Which type of shock can occur due to a hypersensitivity reaction?Septic Hypovolemic Anaphylactic Cardiogenic Anaphylactic Which assessment finding would the nurse anticipate for the patient in cardiogenic shock?Angioedema Bradycardia Bradypnea Crackles on auscultation Crackles on auscultation Which type of shock can occur after a spinal cord injury?Septic Relative hypovolemia Neurogenic Cardiogenic Neurogenic During which stage of shock does ventilation-perfusion mismatch initially occur?Refractory Compensatory Initial Progressive Compensatory

During which stage of shock would the nurse anticipate the patient to be moved to the intensive care unit (ICU)?Refractory Initial Compensatory Progressive Progressive Which neurologic manifestation occurs during the refractory stage of shock? Select all that apply. One, some, or all responses may be correct.Nonreactive and dilated pupils Anxiety Acute kidney injury Ischemic gut Areflexia Nonreactive and dilated pupils Areflexia Which assessment finding would the nurse expect if a patient who presents with a broken femur is developing shock? Select all that apply. One, some, or all responses may be correct.Dry skin Increased urinary output Low blood pressure Decreased pulse Prolonged capillary refill Low blood pressure Prolonged capillary refill Match each type of shock with its cause.Loss of intravascular fluid Systolic or diastolic dysfunction Massive vasodilation without compensation Acute allergic reaction to a sensitizing substance Hypovolemic Cardiogenic Neurogenic Anaphylactic Which type of shock would the nurse monitor for in a patient who had an epidural for a minor surgical procedure and now has developed a high fever, hypotension, and tachycardia?Septic Obstructive Neurogenic Cardiogenic Neurogenic

Which type of shock is a patient at risk for developing after an acute myocardial infarction (MI) from severe coronary artery disease?Neurogenic Cardiogenic Anaphylactic Hypovolemic Cardiogenic Which condition would put a patient at risk for hypovolemic shock? Select all that apply. One, some, or all responses may be correct.Spinal cord injury Excessive hemorrhaging Myocardial infarction Urinary tract infection Prolonged vomiting and diarrhea Excessive hemorrhaging Prolonged vomiting and diarrhea Which finding is consistent with the compensatory stage of shock? Select all that apply. One, some, or all responses may be correct.Hypoactive bowel sounds Temperature of 98.6°F Cool and clammy skin Crackles on auscultation Anuria Hypoactive bowel sounds Temperature of 98.6F Crackles on auscultation Anuria When monitoring disseminated intravascular coagulation (DIC) screening labs, which result would the nurse anticipate in a patient in shock?Increased thrombin time Normal D-dimer Decreased prothrombin time (PT) Increased platelet count Increased thrombin time Which nursing action is necessary for successful management of shock? Select all that apply. One, some, or all responses may be correct.Establish IV access Fluid resuscitation with crystalloids Initiate oral hydration Optimize oxygen delivery Early recognition Establish IV access Fluid resuscitation with crystalloids Optimize oxygen delivery Early recognition

Which therapy would be used in the initial resuscitation of shock?Administration of antibiotics Delivery of packed red blood cells Providing normal saline Delivering plasma Providing normal saline Which rule is used to calculate initial fluid resuscitation for hypovolemic shock?

2:1

3:1

Massive infusion

1:3

3:1

Which action would the nurse take within the first hour of diagnosis of sepsis? Select all that apply. One, some, or all responses may be correct.Administer vasopressin.Administer insulin.Start antibiotics.Collect blood cultures.Start venous thromboembolism (VTE) prophylaxis.Start antibiotics.Collect blood cultures.Which intervention would the nurse prioritize when caring for a patient with a suspected spinal injury and neurogenic shock?Ambulate.Utilize cooling devices.Initiate massive fluid resuscitation.Treat hypotension.Treat hypotension.Which assessment is the initial focus for the nurse when caring for a patient with sepsis?Advance directives ABCs Level of consciousness (LOC) History ABCs Which assessment finding would the nurse expect to see in a patient experiencing progressive shock?Decrease in alertness Hypertension Bradycardia Increased urine output Decrease in alertness