Question 1 of 6
Report content error
Which sign or symptom would indicate progression of sepsis to septic shock?
-
- High blood pressureHigh blood pressure is not a symptom of sepsis.
-
- Full bounding pulseA full bounding pulse is not a symptom of sepsis.
-
- Slightly elevated temperatureA slightly elevated temperature is not a symptom of sepsis.
- Correct
- Decreasing hourly urine outputDecreasing hourly urine output may indicate that sepsis is progressing to septic shock.
Question 2 of 6
Report content error
Which patient condition would cause the nurse to observe for signs of obstructive shock?
-
- BurnsBurn injury can result in hypovolemic shock.
-
- InfectionInfection can result in septic shock.
- Correct
- Cardiac tamponadeCardiac tamponade can result in obstructive shock.
-
- Myocardial infarctionMyocardial infarction can result in cardiogenic shock.
Question 3 of 6
Report content error
Which finding would the nurse expect when taking care of a patient with septic shock?
-
- PolyuriaOliguria, not polyuria, is an expected assessment finding with septic shock.
- Correct
- ConfusionAltered mentation as evidenced by confusion is an expected assessment finding with shock.
-
- BradycardiaTachycardia would be an expected assessment finding with septic shock, not bradycardia.
-
- Warm, flushed skinCool, pale skin is associated with shock.
Question 4 of 6
Report content error
Which action would the nurse anticipate for a patient with cardiogenic shock?
-
- Control hyperthermia.Controlling hyperthermia is important when caring for septic shock, not cardiogenic shock.
-
- Replace lost fluid volume.Replacing lost fluid volume should occur with treatment of hypovolemic shock. Cardiogenic shock often involves fluid overload, so administering fluids is not indicated.
-
- Initiate therapy with broad-spectrum antibiotics.Therapy with broad-spectrum antibiotics is indicated for septic shock, not cardiogenic shock.
- Correct
- Administer medications to increase cardiac output.Because cardiogenic shock results from an ineffective pump, it is important to administer medications that improve cardiac output and contractility.
Question 5 of 6
Report content error
Which clinical manifestation would the nurse expect for a patient with 30% blood volume loss?
- Correct
- Tachycardia with exerciseTachycardia with exercise is a clinical manifestation seen with 30% blood volume loss.
-
- Shock and potential deathShock and potential death occurs with 50% (or greater) blood volume loss.
-
- Below normal blood pressure when supineBelow normal blood pressure when supine occurs with 40% blood volume loss.
-
- No abnormal clinical manifestations occurNo abnormal manifestations are typically seen with blood volume loss of 10% or less.
Question 6 of 6
Report content error
Which treatment would the nurse anticipate for a patient with hypovolemic shock due to hemorrhage?
-
- Isotonic fluid administrationIsotonic fluid administration is indicated for patients with hypovolemic shock from gastrointestinal losses, not hemorrhage.
-
- Administration of antibioticsAntibiotics are indicated for the treatment of sepsis and septic shock, not hypovolemic shock.
-
- Initiation of a fluid restrictionFluid restriction is not indicated for treatment of hypovolemic shock. Instead, fluids should be administered.
- Correct
- Insertion of two large-bore intravenous (IV) cathetersThe nurse would anticipate inserting 2 large bore IV catheters for administration of blood products and large amounts of fluid.
