1.
Which of the following causes of fluid volume loss is considered to be Absolute Hypovolemia?
Correct Answer
C. GI Bleed
Explanation
Absolute hypovolemia refers to a decrease in the total volume of blood in the body. Among the given options, GI Bleed is the cause of fluid volume loss that directly leads to a decrease in blood volume. When there is bleeding in the gastrointestinal tract, blood is lost from the body, resulting in a decrease in the overall blood volume. This condition is considered absolute hypovolemia because it directly reduces the total amount of blood circulating in the body. Ascites, burns, and bowel obstruction can also cause fluid volume loss, but they do not directly result in a decrease in blood volume.
2.
What
is the treatment of choice to correct Hypovolemic Shock?
Correct Answer
B. Replace fluids intravenously as quickly as possible.
Explanation
The treatment of choice to correct Hypovolemic Shock is to replace fluids intravenously as quickly as possible. This is because Hypovolemic Shock is caused by a significant loss of blood or fluids, leading to a decrease in circulating volume. Replacing fluids intravenously helps to restore the blood volume and improve tissue perfusion, which is essential in treating this condition. Drinking a large bottle of Gatorade may not be sufficient to replace the lost fluids adequately, and administering a vasopressor may be considered in certain cases, but the primary treatment is fluid replacement. Therefore, the correct answer is to replace fluids intravenously as quickly as possible.
3.
The
most common risk factor for cardiogenic shock is anyone who has had open heart surgery.
Correct Answer
B. False
Explanation
*Most common risk factor is anyone who has had a heart attack
4.
You must have 5 out of the 9 signs and symptoms listed to be in cardiogenic shock.
Correct Answer
B. False
Explanation
*You must have TWO out of the 9 symptoms listed to be in cardiogenic shock.
5.
What
causes decreased BP in neurogenic shock?
Correct Answer
C. Disrupted SNS communication
Explanation
The correct answer is disrupted SNS communication. Neurogenic shock is caused by a disruption in the sympathetic nervous system (SNS), which is responsible for maintaining blood pressure. In neurogenic shock, there is a loss of sympathetic tone, leading to vasodilation and decreased systemic vascular resistance. This results in decreased blood pressure. Movement of fluid into the cells or vasculature and polyuria do not directly cause decreased blood pressure in neurogenic shock.
6.
What
class of drug is
typically used to treat neurogenic shock?
Correct Answer
D. Vasopressor
Explanation
Vasopressors are a class of drugs that are typically used to treat neurogenic shock. Neurogenic shock is characterized by a sudden drop in blood pressure due to a loss of sympathetic nervous system activity. Vasopressors work by constricting blood vessels, which helps to increase blood pressure and improve circulation. This can be beneficial in treating neurogenic shock, as it helps to restore blood flow to vital organs and tissues. Beta-blockers, calcium-channel blockers, and loop diuretics are not typically used to treat neurogenic shock, as they do not have the same vasoconstrictive effects as vasopressors.
7.
What
type of sensitivity
reaction is anaphalactic shock?
Correct Answer
A. Type I, Immediate Hypersensitivity Disorder
Explanation
Anaphylactic shock is a type of sensitivity reaction known as Type I, Immediate Hypersensitivity Disorder. This type of reaction occurs when the immune system overreacts to a harmless substance, such as an allergen, and releases a large amount of histamine and other chemicals. This can cause a severe and potentially life-threatening allergic reaction, leading to symptoms such as difficulty breathing, low blood pressure, and swelling of the throat. Immediate medical attention is required to treat anaphylactic shock.
8.
What is the preferred treatment for an anaphalactic shock?
Correct Answer
A. EpinepHrine
9.
What is the primary cause of septic shock?
Correct Answer
C. Infection
Explanation
Septic shock is a life-threatening condition caused by a severe infection. When an infection spreads throughout the body, it triggers an overwhelming immune response that can lead to organ failure and a drop in blood pressure. This drop in blood pressure prevents organs from receiving enough oxygen and nutrients, resulting in septic shock. Therefore, infection is the primary cause of septic shock.
10.
Which of the following could be a sign of septic shock upon assessment? Choose from the combinations listed below.
A. Hyperthermia (fever) or hypothermia
B. Confusion
C. Tachycardia
D. Poor Skin Turgor
Correct Answer
A. A,B,C
Explanation
Hyperthermia or hypothermia, confusion, and tachycardia could all be signs of septic shock. Hyperthermia or hypothermia refers to an abnormal increase or decrease in body temperature, which can occur in septic shock due to the body's response to infection. Confusion can be a result of decreased blood flow and oxygen to the brain, which can happen in septic shock. Tachycardia, or a rapid heart rate, is a common symptom of septic shock as the body tries to compensate for low blood pressure and decreased oxygen delivery. Poor skin turgor, or decreased elasticity of the skin, is not typically associated with septic shock.