Ch. 13 Flashcards

1
Q

A 20-year-old male has a large laceration to his wrist. He is holding a blood-soaked towel over the wound, but it continues to bleed rapidly. You should:

-Administer high-flow supplemental oxygen
-Apply a tourniquet proximal to the wrist
-Wrap the towel with pressure bandages
-Apply pressure to the brachial artery

A

Apply a tourniquet proximal to the wrist

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2
Q

All of the following condition should make sure suspect shock, EXCEPT:

-Severe infection
-Spinal injury
-Ischemic stroke
-Anaphylaxis

A

Ischemic stroke

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3
Q

Cardiogenic shock may result from all of the following, EXCEPT:

-Heart attack
-Increased preload
-Poor contractility
-Increased afterload

A

Increased preload

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4
Q

Clinical signs of compensated shock include all the following, EXCEPT:

-Absent peripheral pulses
-Cool and clammy skin
-Rapid, shallow breathing
-Restlessness or anxiety

A

Absent peripheral pulses

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5
Q

Hypovolemic shock caused by severe burns is the result of a loss of:

-Red blood cells
-Platelets
-Plasma
-Whole blood

A

Plasma

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6
Q

Neurogenic shock occurs when:

-There is too much blood to fill a smaller vascular container
-Massive vasoconstriction occurs distal to a spinal cord injury
-Failure of the nervous system causes widespread vasodilation
-The spinal cord is severed and causes massive hemorrhaging

A

Failure of the nervous system causes widespread vasodilation

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7
Q

Shock is the result of:

-Widespread constriction of the blood vessels
-Temporary dysfunction of a major orgna
-Hypoperfusion to the cells of the body
-The body’s maintenance of homeostasis

A

Hypoperfusion to the cells of the body

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8
Q

To protect vital organs, the body compensates by directing blood flow away from organs that are more tolerant of low flow, such as:

-The heart
-The lungs
-The brain
-The skin

A

The skin

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9
Q

Which of the following clinical signs is unique to anaphylactic shock?

-Dizziness
-Hypotension
-Pallor
-Wheezing

A

Wheezing

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10
Q

Which of the following patients is in decompensated shock?

-A 28-year-old female with pale skin and rapid, shallow respirations
-A 20-year-old female with absent radial pulses and dilated pupils
-A 23-year-old male with cool, clammy skin and tachycardia
-A 32-year-old male with anxiety and a systolic blood pressure of 110 mm Hg

A

A 20-year-old female with absent radial pulses and dilated pupils

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