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Chapter 19: Shock

Monahan Phipps Medical Surgical 8th Edition By Monahan

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Chapter 19: Shock

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. “Preload” refers to:
1. Pressure created by blood volume in the right side of the heart
2. The volume of blood pumped by each ventricle each minute
3. The amount of stretch in the ventricle at the end of diastole
4. Ventricular wall tension during systolic ejection

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Cardiovascular

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

  1. Which is the underlying defect occurring in shock regardless of cause?
1. Increased oxygen consumption
2. Impaired delivery of oxygen to cells
3. Inability of tissues to extract delivered oxygen
4. Uneven distribution of oxygen throughout the body

 

 

ANS: 2                    PTS:   1                    DIF:   Category: Cardiovascular

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

  1. A patient suffering hemorrhagic shock due to the loss of approximately 35% of total blood volume will exhibit which sign?
1. Urinary output between 5 and 15 ml/hour
2. Slightly prolonged capillary refill time
3. Respirations exceeding 35 per minute
4. Heart rate between 70 and 90 beats/min

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Cardiovascular

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

  1. Which clinical manifestation occurring in a patient suffering an acute myocardial infarction is consistent with compensatory cardiogenic shock?
1. Pulse pressure greater than 40 mm Hg
2. Palpable blood pressure of 60/0
3. Cold, mottled, cyanotic skin
4. Heart rate of 120 beats/min

 

 

ANS: 4                    PTS:   1                    DIF:   Category: Cardiovascular

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

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