A nurse is caring for a client who is experiencing pooling of blood in the periphery. Which of the following occurs in a client with distributive shock?
Increased mean arterial pressure (MAP)
Decreased venous return
Decreased heart rate
Increased cardiac output
The Correct Answer is B
A. Distributive shock is associated with decreased MAP, not increased.
B. Decreased venous return occurs in distributive shock due to the pooling of blood in the periphery, leading to reduced preload and decreased cardiac output.
C. Distributive shock typically results in increased heart rate as the body attempts to compensate for decreased blood pressure and venous return.
D. Cardiac output is generally decreased in distributive shock due to reduced venous return and impaired blood flow.
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Related Questions
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
Explanation
Sodium level: The client's sodium level is significantly elevated (157 mEq/L), indicating hyponatremia. This is a critical finding that needs to be addressed promptly to prevent serious complications such as seizures and coma.
Heart rate: While the heart rate is slightly elevated, it is not as urgent a concern as the sodium level. Once the sodium level is stabilized, the nurse can address the heart rate if it remains elevated.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}
Explanation
- Encephalopathy is a common complication of severe alcohol withdrawal, characterized by altered mental status, confusion, and other neurological symptoms.
- Ammonia levels are often elevated in patients with alcohol withdrawal syndrome, and high ammonia levels can contribute to encephalopathy.
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