A nurse is assisting in providing care for a client who has obstructive shock. Which of the following diagnoses should the nurse expect?

Third spacing

Cardiac tamponade

Cardiomyopathy

Ruptured aneurysm

Answer and Explanation

The Correct Answer is B

A. Third spacing involves the abnormal accumulation of fluid in extracellular spaces and is more commonly associated with hypovolemic or distributive shock, not obstructive shock.

B. Cardiac tamponade is a classic cause of obstructive shock, where the accumulation of fluid in the pericardial sac compresses the heart, leading to decreased cardiac output and obstructed blood flow.

C. Cardiomyopathy is a disease of the heart muscle that can lead to heart failure but is typically associated with cardiogenic shock, not obstructive shock.

D. A ruptured aneurysm would most likely cause hypovolemic shock due to blood loss, not obstructive shock.

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Correct Answer is A

Explanation

A. Paralytic ileus is a common postoperative complication characterized by the absence of bowel sounds, abdominal distention, and failure to pass flatus due to a lack of intestinal peristalsis.

B. Incisional infection would typically present with localized symptoms such as redness, warmth, and purulent drainage at the surgical site, not generalized abdominal distention and lack of bowel sounds.

C. Health care-associated Clostridium difficile infection usually presents with diarrhea, not an absence of bowel sounds or abdominal distention.

D. Fecal impaction is more likely to cause localized pain and possible leakage of liquid stool, rather than complete absence of bowel sounds and severe distention.

A. No urge to void B. Numbness in legs C. Headache D. Hiccups

Correct Answer is C

Explanation

A. A lack of urge to void can be a temporary side effect of spinal anesthesia but is not necessarily a sign of a complication.

B. Numbness in the legs is an expected and temporary effect of spinal anesthesia and should resolve as the anesthesia wears off.

C. A headache, particularly a post-dural puncture headache, can be a complication of spinal anesthesia caused by a leak of cerebrospinal fluid at the puncture site.

D. Hiccups are generally unrelated to spinal anesthesia and are not a common complication.

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A nurse is assisting in providing care for a client who has obstructive shock. Which of the following diagnoses should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A nurse is caring for a client who is returning to the medical-surgical unit following a procedure that required spinal anesthesia. Which of the following findings should indicate to the nurse the client is experiencing a complication related to the anesthesia?

Correct Answer is C

Explanation

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