A client with chronic pain is using aspirin regularly to control her pain symptoms. She presents to the hospital with abdominal pain, pale skin, afebrile, and a blood pressure (BP) of 83/45 mm Hg. Which type of shock is the client most likely experiencing?

Hypovolemic shock

Obstructive shock

Cardiogenic shock

Septic shock

Answer and Explanation

The Correct Answer is A

A. Hypovolemic shock is characterized by low blood pressure, pale skin, and abdominal pain due to significant fluid loss or hemorrhage. The client's symptoms, including hypotension and abdominal pain, suggest a reduction in blood volume potentially caused by gastrointestinal bleeding or ulceration, which is consistent with chronic aspirin use.
B. Obstructive shock is due to a physical obstruction of blood flow, such as a pulmonary embolism or cardiac tamponade, which does not directly correlate with the client's presentation of symptoms.
C. Cardiogenic shock results from severe heart failure and is typically accompanied by signs of heart dysfunction, not just low blood pressure and abdominal pain.
D. Septic shock is associated with infection and systemic inflammation, often presenting with fever and other signs of infection, which the client is not exhibiting.

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Correct Answer is B

Explanation

B. Experiencing depression following a disaster is a common response. Survivors often experience a range of emotional responses, including depression, due to the trauma and loss associated with the event.
A. The depression is more likely related to the traumatic event rather than a pre-existing condition.
C. While survivors may struggle with feelings of guilt or disbelief, the focus should be on understanding the depression as a response to the trauma experienced.
D. Although feelings of guilt may be present, it is more pertinent to address the depression as a common mental health issue following a traumatic event.

A. Signs of sympathetic stimulation B. Hypertension C. Cool, moist skin D. Bradycardia

Correct Answer is D

Explanation

A. Neurogenic shock is characterized by the loss of sympathetic tone, leading to parasympathetic predominance. Therefore, signs of sympathetic stimulation, such as tachycardia or sweating, are not present.
B. Neurogenic shock typically causes hypotension, not hypertension, due to vasodilation and decreased systemic vascular resistance.
C. Cool, moist skin is more commonly seen in hypovolemic or septic shock due to peripheral vasoconstriction. In neurogenic shock, vasodilation leads to warm, dry skin.
D. Bradycardia is a hallmark of neurogenic shock due to unopposed parasympathetic stimulation resulting from the loss of sympathetic nervous system control.

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A client with chronic pain is using aspirin regularly to control her pain symptoms. She presents to the hospital with abdominal pain, pale skin, afebrile, and a blood pressure (BP) of 83/45 mm Hg. Which type of shock is the client most likely experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client survived a workplace accident that claimed the lives of many of the client's colleagues several months ago. The client has recently sought care for the treatment of depression. How should the nurse best understand the client's current mental health problem?

Correct Answer is B

Explanation

The nurse is caring for a client in neurogenic shock following an overdose of anti-anxiety medication. When assessing this client, the nurse should recognize what characteristic of neurogenic shock?

Correct Answer is D

Explanation

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