Chapter13: Shock

Question 1

Shock is the result of:

Answer 1

Hypoperfusion to the cells of the body

Question 2

Capillary sphincters are:

Answer 2

circular muscular walls that regulate blood flow through the capillaries

Question 3

One of the primary waste products of normal cellular metabolism that must be removed from the body by the lungs is:

Answer 3

carbon dioxide

Question 4

Which of the following injuries would MOST likely cause obstructive shock?

Answer 4

Cardiac tamponade

Question 5

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

Answer 5

Wheezing

Question 6

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

Answer 6

plasma

Question 7

Neurogenic shock occurs when:

Answer 7

failure of the nervous system causes widespread vasodilation

Question 8

Temporary, widespread vasodilation and syncope caused by a sudden nervous system reaction MOST accurately describes:

Answer 8

neurologic shock

Question 9

XClinical signs of compensated shock include all of the following EXCEPT:

Answer 9

absent peripheral pulses

Question 10

Which of the following patients is in decompensated shock?

Answer 10

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

Question 11

Which of the following would MOST likely result in hemorrhagic shock?

Answer 11

liver laceration

Question 12

When assessing a patient with signs and symptoms of shock, it is important to remember that:

Answer 12

blood pressure may be the last measurable factor to change in shock

Question 13

A 59-year-old male presents with severe vomiting and diarrhea of 3 days’ duration. He is confused and diaphoretic, and his radial pulses are absent. His blood pressure is 78/50 mm Hg. After applying supplemental oxygen you should,

Answer 13

prepare for immediate transport

Question 14

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

Answer 14

the skin

Question 15

Pulmonary edema and impaired ventilation occur during:

Answer 15

cardiogenic shock

Question 16

You are transporting a 33-year-old male who was involved in a major motor vehicle crash. You have addressed all immediate and potentially life-threatening conditions and have stabilized his condition with the appropriate treatment. With an estimated time of arrival at the hospital of 20 minutes, you should:

Answer 16

reassess his condition in 5 minutes

Question 17

Distributive Shocks occurs when:

Answer 17

widespread dilation of the blood vessels causes blood to pool in the vascular beds.

Question 18

A 70-year-old female was recently discharged from the hospital following a total hip replacement. Today, she presents with restlessness, tachycardia, and a blood pressure of 90. 64 mm Hg. Her skin is hot and moist. You should be MOST suspicious that she is experiencing

Answer 18

septic shock

Question 19

a 56-year-old male is found semiconscious by his wife. Your assessment reveals that his respirations are rapid and shallow, his pulse is rapid and irregular, and his blood pressure is low. The patient’s wife states that he complained of left arm pain and nausea the day before, but would not allow her to call 9-1-1. The MOST likely cause of this patient’s present condition is:

Answer 19

acute myocardial infraction

Question 20

Which of the following is the ONLY action that can prevent death from a tension pneumothorax?

Answer 20

Decompression of the injured side of the chest