A client presents with shock in the hospital, and has a history of a recent infection. What does the nurse suspect that this client is experiencing?
Cardiogenic shock
Neurogenic shock
Hypovolemic shock
Septic shock
The Correct Answer is D
A) Cardiogenic shock:
Cardiogenic shock occurs when the heart is unable to pump enough blood to meet the body's needs, often due to myocardial infarction (heart attack) or other conditions affecting the heart's function. The client's history of a recent infection does not align with the etiology of cardiogenic shock.
B) Neurogenic shock:
Neurogenic shock occurs due to dysfunction of the autonomic nervous system, typically as a result of spinal cord injury or severe brain injury. It is characterized by widespread vasodilation and bradycardia. The client's history of a recent infection does not align with the etiology of neurogenic shock.
C) Hypovolemic shock:
Hypovolemic shock occurs due to a significant loss of blood volume, such as from trauma, hemorrhage, or dehydration. While infection can lead to fluid loss and dehydration in some cases, the client's history of a recent infection suggests a different etiology, specifically septic shock, which is driven by the systemic inflammatory response to infection.
D) Septic shock.
Septic shock is a type of distributive shock caused by a systemic response to infection. It occurs when an infection triggers a widespread inflammatory response, leading to vasodilation, increased capillary permeability, fluid loss from the bloodstream, and impaired tissue perfusion. The client's history of a recent infection suggests that the shock may be septic in nature.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) The amount of blood pumped by the heart through the circulatory system in 1 minute.
This statement describes cardiac output, which is the volume of blood pumped by the heart in one minute. Cardiac output is not directly related to the process of digestion.
B) Smooth muscle movement of the GI tract by way of contractions.
This statement describes peristalsis, which is the rhythmic contraction of smooth muscles in the GI tract that propels food and digestive contents through the digestive system. While peristalsis is an essential aspect of digestion, it does not encompass the entire process.
C) Neutralization by use of bicarbonate from pancreatic and biliary secretions.
This statement describes the role of bicarbonate in neutralizing stomach acid in the small intestine. Bicarbonate is released from pancreatic and biliary secretions to neutralize acidic chyme from the stomach, creating a more favorable environment for digestive enzymes to function. While this is an important aspect of digestion, it does not fully encompass the entire process.
D) It is the process when food is broken down into molecules that can be absorbed.
Digestion refers to the process by which food is broken down into smaller molecules that can be absorbed and utilized by the body. This process occurs in the gastrointestinal (GI) tract and involves the mechanical and chemical breakdown of food into nutrients such as carbohydrates, proteins, and fats, as well as vitamins and minerals. These nutrients are then absorbed across the lining of the GI tract and transported to cells throughout the body for energy, growth, and repair.
Correct Answer is D
Explanation
A) Inspiration:
Inspiration refers to the process of inhaling or breathing in air into the lungs. It involves the contraction of the diaphragm and expansion of the chest cavity, leading to the intake of air into the lungs.
B) Expiration:
Expiration, also known as exhalation, refers to the process of exhaling or breathing out air from the lungs. It involves the relaxation of the diaphragm and chest muscles, leading to the expulsion of air from the lungs.
C) Respiration:
Respiration is a broader term that encompasses both ventilation (the mechanical process of breathing) and gas exchange (the exchange of oxygen and carbon dioxide between the lungs and blood). While respiration involves both air movement and gas exchange, it does not specifically refer to blood flow through the lung, which is described by the term perfusion.
D) Perfusion.
Perfusion refers to the circulation of blood through the lung's blood vessels, including the pulmonary arteries and pulmonary capillaries. This process allows for the exchange of gases (oxygen and carbon dioxide) between the blood and the air in the lungs during respiration. Perfusion is essential for oxygenating blood and removing carbon dioxide, which is crucial for maintaining normal cellular function throughout the body.
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