Exam 34: Shock,sepsis,and Multiple-Organ Dysfunction Syndrome

A patient has been admitted with septic shock related to tissue necrosis.The nurse knows the initial goal for medical management for this patient is which intervention?

A patient is being admitted from the emergency department (ED)with cardiogenic shock secondary to unstable angina unresponsive to medications.The patient was intubated and ventilated in the ED.Which intervention should the nurse prepare to initiate when the practitioner arrives in the unit?

The nurse is caring for a patient in shock with an elevated lactate level.Which order should the nurse question in the management of this patient?

A patient has been admitted with anaphylactic shock due to an unknown allergen.The nurse understands that the patient is probably having an immunoglobulin E (IgE)-mediated response as a result of what physiologic mechanism?

The nurse is caring for a patient who what just admitted with septic shock.The nurse knows that certain interventions should be completed within 3 hours of time of presentation.Which intervention would be a priority for the nurse to implement upon receipt of a practitioner's order?

A patient is admitted after she develops disseminated intravascular coagulation (DIC)after a vaginal delivery.Which laboratory value would the nurse expect to note to support this diagnosis?

The nurse is caring for a patient with multiple-organ dysfunction syndrome (MODS).The nurse understands that earlier nutritional support is critical for the patient to prevent profound weight loss.Why does this occur in patient MODS?

A patient has been admitted with hypovolemic shock due to blood loss.Which finding would the nurse expect to note to support this diagnosis?

A patient is admitted with a brain and spinal cord injury secondary to a motor vehicle crash.The nurse is monitoring the patient for signs of neurogenic shock.Clinical findings in neurogenic shock are related to which pathophysiologic process?

A patient with a known penicillin allergy develops anaphylactic shock after a dose of ampicillin was given in error.Which medication would the nurse administer first?

A patient has developed septic shock.The nurse knows that the patient is at risk for gastrointestinal dysfunction.What happens to the gastrointestinal tract in the patient with septic shock?

The nurse is caring for a patient in septic shock due secondary to pneumonia.The nurse knows that evidence-based guidelines for the treatment of septic shock include which interventions?

A nursing instructor is discussing the difference between primary and secondary multiple-organ dysfunction syndrome (MODS)with a nursing student.Which statement indicates the student understood the information?

A patient has developed septic shock.The nurse knows that the clinical manifestations of ischemic hepatitis show up 1 to 2 days after the insult.Which finding would the nurse expect to note to support this diagnosis?

A patient has been admitted with septic shock due to urinary sepsis.The practitioner inserts a pulmonary artery (PA)catheter.Which hemodynamic value would the nurse expect to note to support this diagnosis?

The nurse is caring for a patient with sepsis due to necrotic tissue.The nurse knows that necrotic tissue can stimulate the inflammatory immune response.Which biochemical mediator is secreted in response to endotoxin or tissue injury?

A patient has been admitted with anaphylactic shock due to an unknown allergen.The nurse understands that the decrease in the patient's cardiac output is the result of which mechanism?

The nurse is caring for a patient in cardiogenic shock.The nurse recognizes that the patient's signs and symptoms are the result of what problem?

A patient is being admitted with cardiogenic shock secondary to acute heart failure.In addition to a diuretic,which medication would the nurse anticipate the practitioner ordering for the patient?

The nurse is caring for a patient in cardiogenic shock.Which hemodynamic parameters would the nurse expect to note to support this diagnosis?