CH 10 SHOCK

Patients develop septic shock secondary to:

blood vessel leakage, dilation, and severe volume loss.

Temporary, widespread vasodilation and syncope caused by a sudden nervous system reaction MOST accurately describes:

psychogenic shock.

A 59-year-old male presents with severe vomiting and diarrhea of 3 days' duration. He is confused and diaphoretic, and his radial pulses are absent. His blood pressure is 78/50 mm Hg. After applying 100% supplemental oxygen, you should:

prepare for immediate transport.

A 19-year-old male was stung multiple times by fire ants. He is experiencing obvious signs and symptoms of anaphylactic shock. You administer 100% oxygen and give him epinephrine via subcutaneous injection. Upon reassessment, you determine that his condition has not improved. You should:

repeat the epinephrine injection after consulting with medical control.

Which of the following MOST accurately describes septic shock?

bacterial damage to the vessel wall, leaking blood vessels, and vasodilation

All of the following conditions would make you suspect shock, EXCEPT:

tachycardia

Pulmonary edema and impaired ventilation occur during:

cardiogenic shock.

When assessing a patient with signs and symptoms of shock, it is MOST important to remember that:

blood pressure may be the last measurable factor to change in shock.

A 27-year-old male was stabbed in the chest during a disagreement at a poker game. As you approach him, you see that a knife is impaled in his chest. Before you make physical contact with the patient, it is MOST important to:

follow standard precautions

Hypovolemic shock caused by severe burns is the result of a loss of:

Plasma

In infants and children, a capillary refill time (CRT) that is greater than ______ second(s) is a sign of poor peripheral perfusion.

2

Shock is the result of:

hypoperfusion to the cells of the body.

Hypotension in a child with blunt or penetrating trauma is particularly significant because:

it often indicates the loss of half of his or her blood volume.

One of the primary waste products of normal cellular metabolism that must be removed from the body by the lungs is:

Carbon Dioxide

Which of the following would MOST likely result in hemorrhagic shock?

Liver laceration

You respond to a residence for a patient with a severe leg injury following an accident with a chainsaw. When you arrive, you find the patient, a 44-year-old male, lying supine in the backyard. He has a partial amputation of his right lower leg that is actively bleeding. The patient is conscious and breathing adequately; however, he is restless and his skin is diaphoretic. You should:

Apply direct pressure to the wond

When the body senses a state of hypoperfusion, the sympathetic nervous system releases epinephrine, the effects of which include:

Tachycardia

Which of the following patients is in decompensated shock?

a 20-year-old female with absent radial pulses and dilated pupils

Clinical signs of compensated shock include all of the following, EXCEPT:

Absent peripheral pulses.

Cardiogenic shock may result from all of the following, EXCEPT:

Increased preload

Distributive shock occurs when:

Widespread dilation of the blood vessels caused the blood to pool in the vascular beds

When perfusion to the core of the body decreases:

Blood is shunted away from the skin

CH 10 SHOCK - Subjecto.com

CH 10 SHOCK

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Patients develop septic shock secondary to:

blood vessel leakage, dilation, and severe volume loss.

Temporary, widespread vasodilation and syncope caused by a sudden nervous system reaction MOST accurately describes:

psychogenic shock.

A 59-year-old male presents with severe vomiting and diarrhea of 3 days’ duration. He is confused and diaphoretic, and his radial pulses are absent. His blood pressure is 78/50 mm Hg. After applying 100% supplemental oxygen, you should:

prepare for immediate transport.

A 19-year-old male was stung multiple times by fire ants. He is experiencing obvious signs and symptoms of anaphylactic shock. You administer 100% oxygen and give him epinephrine via subcutaneous injection. Upon reassessment, you determine that his condition has not improved. You should:

repeat the epinephrine injection after consulting with medical control.

Which of the following MOST accurately describes septic shock?

bacterial damage to the vessel wall, leaking blood vessels, and vasodilation

All of the following conditions would make you suspect shock, EXCEPT:

tachycardia

Pulmonary edema and impaired ventilation occur during:

cardiogenic shock.

When assessing a patient with signs and symptoms of shock, it is MOST important to remember that:

blood pressure may be the last measurable factor to change in shock.

A 27-year-old male was stabbed in the chest during a disagreement at a poker game. As you approach him, you see that a knife is impaled in his chest. Before you make physical contact with the patient, it is MOST important to:

follow standard precautions

Hypovolemic shock caused by severe burns is the result of a loss of:

Plasma

In infants and children, a capillary refill time (CRT) that is greater than ______ second(s) is a sign of poor peripheral perfusion.

2

Shock is the result of:

hypoperfusion to the cells of the body.

Hypotension in a child with blunt or penetrating trauma is particularly significant because:

it often indicates the loss of half of his or her blood volume.

One of the primary waste products of normal cellular metabolism that must be removed from the body by the lungs is:

Carbon Dioxide

Which of the following would MOST likely result in hemorrhagic shock?

Liver laceration

You respond to a residence for a patient with a severe leg injury following an accident with a chainsaw. When you arrive, you find the patient, a 44-year-old male, lying supine in the backyard. He has a partial amputation of his right lower leg that is actively bleeding. The patient is conscious and breathing adequately; however, he is restless and his skin is diaphoretic. You should:

Apply direct pressure to the wond

When the body senses a state of hypoperfusion, the sympathetic nervous system releases epinephrine, the effects of which include:

Tachycardia

Which of the following patients is in decompensated shock?

a 20-year-old female with absent radial pulses and dilated pupils

Clinical signs of compensated shock include all of the following, EXCEPT:

Absent peripheral pulses.

Cardiogenic shock may result from all of the following, EXCEPT:

Increased preload

Distributive shock occurs when:

Widespread dilation of the blood vessels caused the blood to pool in the vascular beds

When perfusion to the core of the body decreases:

Blood is shunted away from the skin

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