chapter 10 Flashcards
A patient in early shock informs you that he has had severe diarrhea and vomiting over the past four days. Given this history, you would recognize the pathophysiology of the shock is probably related to:
a. the loss of red blood cells.
b. decreased formed elements in the blood.
c. leakage of the capillaries.
d. the loss of plasma volume.
a. the loss of red blood cells.
b. decreased formed elements in the blood.
c. leakage of the capillaries.
d. the loss of plasma volume.
Answer: d
Objective: 10-6
Reference: 336–339
A patient with severe gastrointestinal bleeding is in shock. This type of shock is known as:
a. hypovolemic.
b. cardiogenic.
c. hemorrhagic.
d. distributive.
a. hypovolemic.
b. cardiogenic.
c. hemorrhagic.
d. distributive.
Answer: a
Objective: 10-6
Reference: 336–339
Which of the following conditions is the most probable cause of cardiogenic shock?
a. Myocardial infarction
b. Severe vomiting and diarrhea
c. Gastrointestinal bleeding
d. Systemic infection
a. Myocardial infarction
b. Severe vomiting and diarrhea
c. Gastrointestinal bleeding
d. Systemic infection
Answer: a
Objective: 10-6
Reference: 339–340
The four major categories of shock are:
a. hemorrhagic, distributive, hypoxic, and obstructive.
b. burn, hypovolemic, distributive, and hypoxic.
c. hypoglycemic, obstructive, distributive, and hypovolemic.
d. hypovolemic, cardiogenic, obstructive, and distributive.
a. hemorrhagic, distributive, hypoxic, and obstructive.
b. burn, hypovolemic, distributive, and hypoxic.
c. hypoglycemic, obstructive, distributive, and hypovolemic.
d. hypovolemic, cardiogenic, obstructive, and distributive.
Answer: d
Objective: 10-6
Reference: 336–343
Which of the following statements made by a patient’s family member would lead you to suspect that the patient is suffering from hypovolemic shock?
a. “He has had a rash for the past three days.”
b. “He cannot stop throwing up.”
c. “He has been taking an antibiotic for a chest cold.”
d. “He got up this morning and was having a hard time breathing.”
a. “He has had a rash for the past three days.”
b. “He cannot stop throwing up.”
c. “He has been taking an antibiotic for a chest cold.”
d. “He got up this morning and was having a hard time breathing.”
Answer: b
Objective: 10-6
Reference: 336–339
The underlying cause of distributive shock is:
a. poor fluid intake.
b. loss of blood volume.
c. a damaged heart that has poor contractility.
d. dilation of blood vessels.
a. poor fluid intake.
b. loss of blood volume.
c. a damaged heart that has poor contractility.
d. dilation of blood vessels.
Answer: d
Objective: 10-6
Reference: 339–341
Which of the following conditions could be responsible for causing obstructive shock?
a. Infection throughout the body
b. Loss of blood in the urine
c. Blood clots in the lungs
d. Poor transfer of oxygen at the capillary level
a. Infection throughout the body
b. Loss of blood in the urine
c. Blood clots in the lungs
d. Poor transfer of oxygen at the capillary level
Answer: c
Objective: 10-6
Reference: 342
A patient in shock with abdominal pain indicates he noticed lots of blood in the toilet after having a bowel movement this morning. You would recognize the possibility of what type of shock?
a. Septic
b. Hypovolemic
c. Hypoxic
d. Obstructive
a. Septic
b. Hypovolemic
c. Hypoxic
d. Obstructive
Answer: b
Objective: 10-6
Reference: 336–339
You are treating a patient with severe chest pain and believe she is in cardiogenic shock. One of your first treatments would be:
a. high-flow oxygen.
b. application of an AED.
c. having the patient take her nitroglycerin.
d. rapid transport in a supine position.
a. high-flow oxygen.
b. application of an AED.
c. having the patient take her nitroglycerin.
d. rapid transport in a supine position.
Answer: a
Objective: 10-9
Reference: 347
You approach a patient and notice a large amount of blood on the ground. The patient appears confused, pale, and diaphoretic. Which one of the following should you do first?
a. Apply oxygen.
b. Look for the source of the blood.
c. Assess the patient’s airway.
d. Treat the patient for shock.
a. Apply oxygen.
b. Look for the source of the blood.
c. Assess the patient’s airway.
d. Treat the patient for shock.
Answer: c
Objective: 10-9
Reference: 346–347
Which of the following situations is occurring in the body of a person in shock?
a. The cells are getting glucose and other nutrients but not oxygen.
b. The amount of oxygen reaching the cells is adequate, but carbon dioxide is not being removed.
c. The blood contains an adequate amount of oxygen but not enough nutrients for cells to survive.
d. The cells are not getting enough oxygen, and waste products are accumulating.
a. The cells are getting glucose and other nutrients but not oxygen.
b. The amount of oxygen reaching the cells is adequate, but carbon dioxide is not being removed.
c. The blood contains an adequate amount of oxygen but not enough nutrients for cells to survive.
d. The cells are not getting enough oxygen, and waste products are accumulating.
Answer: d
Objective: 10-1
Reference: 332
When performing a primary assessment, the first evidence that the body may be in shock is:
a. skin that is warm and diaphoretic.
b. a radial pulse of 100 beats per minute.
c. hypertension.
d. a slowed respiratory rate.
a. skin that is warm and diaphoretic.
b. a radial pulse of 100 beats per minute.
c. hypertension.
d. a slowed respiratory rate.
Answer: b
Objective: 10-8
Reference: 345
Which of the following statements best indicates that the speaker has an understanding of the role of caring for a patient in shock in a prehospital setting?
a. “The job of the prehospital provider is to recognize shock and get the patient to the hospital, where treatment for shock can be started.”
b. “Because shock is a life-threatening condition, it is important to identify its exact cause so that proper care can be given.”
c. “If shock is in the compensatory or early stage, it is not yet life threatening, so you can take your time to carefully assess and treat the patient.”
d. “Because shock is best treated in the hospital, one should provide care to correct problems affecting ABCDs and then rapidly transport the patient.”
The job of the prehospital provider is to recognize shock and get the patient to the hospital, where treatment for shock can be started.”
b. “Because shock is a life-threatening condition, it is important to identify its exact cause so that proper care can be given.”
c. “If shock is in the compensatory or early stage, it is not yet life threatening, so you can take your time to carefully assess and treat the patient.”
d. “Because shock is best treated in the hospital, one should provide care to correct problems affecting ABCDs and then rapidly transport the patient.”
Answer: d
Objective: 10-9
Reference: 345–346
A 56-year-old female has struck a tree. Your assessment reveals gurgling respirations, rapid breathing, and cool, diaphoretic skin. You also observe bruising to the chest and abdomen. Which one of the following should you do immediately?
a. Determine her pulse rate.
b. Elevate her feet.
c. Evaluate her for shock.
d. Open and suction her airway.
a. Determine her pulse rate.
b. Elevate her feet.
c. Evaluate her for shock.
d. Open and suction her airway.
Answer: d
Objective: 10-9
Reference: 347–348
A patient who sustained blunt trauma to the abdominal and pelvic areas in a very serious collision is probably in which type of shock?
a. Obstructive
b. Cardiogenic
c. Distributive
d. Hypovolemic
a. Obstructive
b. Cardiogenic
c. Distributive
d. Hypovolemic
Answer: d
Objective: 10-6
Reference: 336–339
