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NRSG 327 Week 5: Shock 2: Test Questions with Correct Answers, Exams of Nursing

A series of questions and answers related to shock, a critical medical condition. It covers various types of shock, including hypovolemic, distributive, septic, and anaphylactic shock. The causes, symptoms, and treatment approaches for each type of shock, offering insights into the physiological mechanisms involved. It also includes information on the use of medications and fluids in managing shock.

Typology: Exams

2024/2025

Available from 03/14/2025

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NRSG 327 WEEK 5: SHOCK 2: TEST QUESTIONS WITH
CORRECT ANSWERS
1) What are the two types of hypovolemia -- Answer ✔✔ absolute and relative
2) What are examples of absolute hypovolemia -- Answer ✔✔ measurable loss (blood
loss, GI loss, excessive diuresis)
3) What are examples of relative hypovolemia -- Answer ✔✔ unmeasurable loss (third
spacing, internal bleeding)
4) What are the complications of hemorrhaging -- Answer hypoperfusion,
electrolyte imbalance, coagulation issues, hypothermia, acidosis
5) What are the treatments for hypovolemia -- Answer ✔✔ stop the loss, treat the
cause, improve cardiac output (increase O2 supply, give blood or IV fluid,
contractility, afterload), decrease O2 demand
6) How do we treat hemorrhage -- Answer ✔✔ whole blood, tranexamic acid (TXA)
7) What can you give if you do not have whole blood available? -- Answer ✔✔ 4 units
PRBC, 4 units plasma, 1 unit platelets
8) Colloids to treat non-hemorrhage hypovolemia -- Answer ✔✔ fresh frozen plasma
(good with warfarin OD), albumin (great for cardiac overload patients)
9) Crystalloids -- Answer ✔✔ isotonic, hypertonic, hypotonic
10) Isotonic solutions (isotonic loss) -- Answer ✔✔ 0.9% NS, RL, D5NS, need equal
parts salt and fluid
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NRSG 327 WEEK 5: SHOCK 2: TEST QUESTIONS WITH

CORRECT ANSWERS

  1. What are the two types of hypovolemia -- Answer ✔✔ absolute and relative
  2. What are examples of absolute hypovolemia -- Answer ✔✔ measurable loss (blood loss, GI loss, excessive diuresis)
  3. What are examples of relative hypovolemia -- Answer ✔✔ unmeasurable loss (third spacing, internal bleeding)
  4. What are the complications of hemorrhaging -- Answer ✔✔ hypoperfusion, electrolyte imbalance, coagulation issues, hypothermia, acidosis
  5. What are the treatments for hypovolemia -- Answer ✔✔ stop the loss, treat the cause, improve cardiac output (increase O2 supply, give blood or IV fluid, contractility, afterload), decrease O2 demand
  6. How do we treat hemorrhage -- Answer ✔✔ whole blood, tranexamic acid (TXA)
  7. What can you give if you do not have whole blood available? -- Answer ✔✔ 4 units PRBC, 4 units plasma, 1 unit platelets
  8. Colloids to treat non-hemorrhage hypovolemia -- Answer ✔✔ fresh frozen plasma (good with warfarin OD), albumin (great for cardiac overload patients)
  9. Crystalloids -- Answer ✔✔ isotonic, hypertonic, hypotonic
  10. Isotonic solutions (isotonic loss) -- Answer ✔✔ 0.9% NS, RL, D5NS, need equal parts salt and fluid
  1. Hypotonic solutions (hypertonic loss) -- Answer ✔✔ 0.45% NS, more water loss than salt, serum Na is high
  2. Hypertonic solutions (hypotonic loss) -- Answer ✔✔ 3% NS, more salt than water is lost, need to pull more fluid into the vascular spaces
  3. As a bedside nurse how do you know if your interventions for hypovolemia are working -- Answer ✔✔ increase in BP, increase in urine output, decrease in HR, increase in mental status, decrease in RR
  4. Hypovolemic shock is a... -- Answer ✔✔ preload problem (there is not enough IN the tank)
  5. Distributive shock is a... -- Answer ✔✔ afterload problem (no change with the volume, but the TANK is getting bigger)
  6. Who is at greatest risk of sepsis & septic shock -- Answer ✔✔ immunocompromised, elderly, pneumonia proinflammatory mediators, co- morbidities, chronic illness, malnutrition
  7. What are the S & S of sepsis -- Answer ✔✔ increased WBC, HR >90, temp >38, RR
  1. Source of infection? Yes, is BP <90/65? Yes -- Answer ✔✔ sepsis
  2. What are the investigations for sepsis -- Answer ✔✔ lactate, abgs, blood cultures, CBC, electrolytes
  3. What is the treatment for sepsis -- Answer ✔✔ antibiotics, increase O2 supply, decrease O2 demand, IV fluids, VS monitoring, including neuros
  4. Anaphylaxis = -- Answer ✔✔ severe histamine increase
  5. Anaphylactic shock = -- Answer ✔✔ reaction with vasodilation