Introduction To Medical Surgical Nursing, 6th Edition by Linton
Introduction To Medical Surgical Nursing, 6th Edition by Linton
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Chapter 19: Shock
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Multiple organ, cardiogenic, renal, and anaphylactic |
| b. | Cardiogenic, renal, hypovolemic, and septic |
| c. | Renal, hypervolemic, obstructive shock, and neurogenic |
| d. | Hypovolemic, cardiogenic, obstructive shock, and vasogenic |
ANS: D
The four large categories of shock are hypovolemic (low-circulating volume), cardiogenic (low-cardiac output), obstructive (occluded vascular pathway), and vasogenic (massive vasodilation).
DIF: Cognitive Level: Knowledge REF: p. 301 OBJ: 1
TOP: Types of Shock KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | Circulatory |
| b. | Endocrine |
| c. | Neurologic |
| d. | Respiratory |
ANS: A
When the heart fails as a pump, the lack of tissue perfusion follows and deprives all the body’s cells of oxygen and the removal of wastes.
DIF: Cognitive Level: Knowledge REF: p. 301 OBJ: 2
TOP: Definition of Shock KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
| a. | The skin is cool and dry with cyanotic nail beds. |
| b. | The skin is cool and moist with cyanotic nail beds. |
| c. | The nail beds are reddened, and the skin is moist and warm. |
| d. | The nail beds are reddened, and the skin is dry and warm. |
ANS: B
Venous blood pools in the extremities of the fingers as a result of the lack of adequate perfusion of tissues, which makes the skin cool and moist from a lack of oxygen and waste exchanges.
DIF: Cognitive Level: Comprehension REF: p. 304-305 OBJ: 3
TOP: Common Signs of Shock KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | Bounding pulse, decreased respirations, and decreased blood pressure |
| b. | Bounding pulse, shallow respirations, and significantly increased blood pressure |
| c. | Thready pulse and deep respirations with decreased blood pressure |
| d. | Thready pulse and irregular respirations with increased blood pressure |
ANS: C
When the heart fails as a pump, the pulse is weak; the respirations increase in an effort to decrease the carbon dioxide level; and, with less volume being pumped, the blood pressure falls.
DIF: Cognitive Level: Comprehension REF: p. 304 OBJ: 3
TOP: Signs of Shock KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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