Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
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Chapter 17, Caring for Clients in Shock
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | You are the nurse caring for a client in septic shock. You know to closely monitor your client. What finding would you observe when the client’s condition is in its initial stages? | |
| A) | A rapid, bounding pulse | |
| B) | A slow but steady pulse | |
| C) | A weak and thready pulse | |
| D) | A slow and imperceptible pulse | |
| Ans: | A | |
| Feedback: | ||
| A rapid, bounding pulse is observed in a client in the initial stages of septic shock. In case of hypovolemic shock, the pulse volume becomes weak and thready and circulating volume diminishes in the initial stage. In the later stages when the circulating volume has severely diminished, the pulse becomes slow and imperceptible, and pulse rhythm changes from regular to irregular. | ||
| 2. | You are caring for a client with shock. You are concerned about hypoxemia and metabolic acidosis with your client. What finding should you analyze for evidence of hypoxemia and metabolic acidosis in a client with shock? | |
| A) | Serum thyroid level findings | |
| B) | Arterial blood gas (ABG) findings | |
| C) | Red blood cells (RBCs) and hemoglobin count findings | |
| D) | White blood cell count findings | |
| Ans: | B | |
| Feedback: | ||
| Analysis of ABG findings is essential for evidence of hypoxemia and metabolic acidosis. Low RBCs and hemoglobin correlate with hypovolemic shock and can lead to poor oxygenation. An elevated white blood cell count supports septic shock. Serum thyroid level findings do not help determine the presence of hypoxemia or metabolic acidosis. | ||
| 3. | You are the nurse caring for a client with shock accompanied by lung congestion. How would you position this client? | |
| A) | Completely supine | |
| B) | Low Fowler’s with legs flat | |
| C) | Supine with lower extremities raised to approximately 45º | |
| D) | Semi-Fowler’s with lower extremities raised to approximately 15º | |
| Ans: | D | |
| Feedback: | ||
| For a client with shock accompanied by lung congestion, the nurse should raise the client’s upper body to approximately 45º and lower extremities to approximately 15º. Elevating the upper body lowers the diaphragm and provides more room for lung expansion and gas exchange. Elevating the head reduces intracranial pressure. Elevating the legs promotes blood perfusion to the heart, lungs, and brain. Therefore, options A, B, and C are incorrect. | ||
| 4. | You are a nursing student preparing to care for an ICU client with shock. Your instructor asks you to name the different categories of shock. Which of the following is a category of shock? | |
| A) | Hypervolemic | |
| B) | Distributive | |
| C) | Restrictive | |
| D) | Cardiotonic | |
| Ans: | B | |
| Feedback: | ||
| The four main categories of shock are hypovolemic, distributive, obstructive, and cardiogenic, depending on the cause. This makes options A, C, and D incorrect. | ||
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