FREE NURSING AND STUDY GAMES ABOUT

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FREE NURSING AND STUDY GAMES ABOUT

SHOCK/MODS/SIRS EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -77 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: decreased liver function can lead to?

Answer:

decreased clotting factors (which can lead to DIC) Question 2: type of shock? causes: **MI**, CAD, CHF, endocarditis, DVT, PE

Answer:

cardiogenic shock Question 3: med that is both an antipyretic and analgesic that passes the blood-brain barrier?

Answer:

Tylenol

Question 4: normal BUN level?

Answer:

around 7-20

Question 5: vasopressor med action? inotropic med action?

Answer:

vasopressor--raise BP inotropic--raise cardiac output

Question 6: How should vasoactive medications be administered?

Answer:

using a central venous line Question 7: type of shock? Tx: vasoconstrictors (dopamine, dobutamine), nitro, O2, EKG/heart monitoring, ATB (endocarditis), morphine, Foley cath, strict I&O, VS q 15-mins, anticoagulants

Answer:

cardiogenic shock

Question 8: MODS metabolic Sx

Answer:

-metabolic acidosis -lactic acidemia (lactate >2---something wrong!) Question 9: When the patient's neck is flexed (after ruling out cervical trauma or injury), flexion of the knees and hips is produced; when the lower extremity of one side is passively flexed, a similar movement is seen in the opposite extremity.

Answer:

• Brudzinski's sign

Question 10: type of shock? shock state resulting from impairment or failure of myocardium

Answer:

cardiogenic

Question 11: initial and first vasopressor of choice?

Answer:

Levophed (norepinephrine)

Question 12: a BUN-to-serum creatinine concentration ratio greater than ___ is indicative of volume depletion

Answer:

20:1

Question 13: med given for bacterial meningitis? med for viral meningitis? steroid that is given for both?

Answer:

ATBs (for bacterial), acyclovir (for viral), dexamethasone Question 14: type of shock? S/Sx: decreased BP, elevated HR and RR, decreased urine output, change in mental status/LOC, cool/clammy skin, electrolyte imbalance

Answer:

hypovolemic shock

Question 15: Which stage of shock is characterized by a normal blood pressure?

• Initial
• Compensatory
• Progressive
• Irreversible

Answer:

• Compensatory

Question 16: lactate ion converts to _____ by the liver; assists with treating acidosis

Answer:

bicarbonate Question 17: You are caring for a client in the compensation stage of shock. You know that one of the body's mechanisms of compensation in this stage of shock is the renin-angiotensin-aldosterone system. What does this system do?

Answer:

restores blood pressure

Question 18: meningitis types? mode of transmission?

Answer:

bacterial and viral; droplet, airborne Question 19: a systemic response to infection; manifested by two or more of the SIRS criteria as a consequence of documented or presumed infection

Answer:

sepsis Question 20: a syndrome resulting from a severe clinical insult that initiates an overwhelming inflammatory response by the body

Answer:

systemic inflammatory response syndrome (SIRS)

Question 21: -inotropic meds

-action: improve contractility, increase stroke volume, increase cardiac output

-disadvantages: increase oxygen demand of the heart

Answer:

Milrinone (Primacor) Epinephrine (Adrenalin) Dobutamine (Dobutrex) Dopamine (Intropin) Question 22: type of shock? circulatory shock state resulting from severe allergic reaction producing overwhelming systemic vasodilation, relative hypovolemia

Answer:

anaphylactic Question 23: When caring for a patient in hypovolemic shock who is receiving large volumes of

IV isotonic fluids, the nurse should monitor for symptoms of:

• Hyperthermia
• Pain
• Pulmonary edema
• Tachycardia

Answer: