Shock questions Flashcards
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’s condition is:
A. a ruptured aortic aneurysm
B. acute myocardial infarction
C. Cardiogenic hypo perfusion
D. Severe septic hypo perfusion
C. Cardiogenic hypo perfusion
Clinical signs of compensated shock include all the following EXCEPT: A.cool and clammy skin B. rapid, shallow breathing C. restlessness or anxiety D. absent peripheral pulses
D. absent peripheral pulses
Which of the following injuries would MOST likely cause obstructive shock?
A. spinal cord injury
B. cardiac tamponade
C. simple pneumothorax
D. liver laceration
B. cardiac tamponade
You suspect your patient is in shock. You note the patient’s skin is pale. This is likely due to _____
A. peripheral vasodilation
B. peripheral vasoconstriction
C. an increased heart rate
D. hypothermia
B. peripheral vasoconstriction
Pulmonary edema and impaired ventilation occur during:
A. Cariogenic shock
B. neurogenic shock
C. septic shock
D. anaphylactic shock
A. Cariogenic shock
You are dispatched to a residence for a 40 year old female who gained. Upon your arrival, the patient is conscious and alert, and states that she fine. Her husband tells you that she failed after receiving news that her sister was killed in a car crash. You offer oxygen to the patient, but she refused to a accept it. At this point, your primary concern should be to:
A. advise her that she needs to go to the hospital
B. determine if she was injured when the fainted
C. obtain baseline vital signs and a medical history
D. provide emotional support regarding her sister
B. determine if she was injured when the fainted
Your assessment of an unresponsive patient reveals that her breathing is inadequate. Your MOST immediate action be to:
A. move her to the ambulance
B. administer high low oxygen
C. check her airway for obstructions
D. ventilate her with a bag valve mask
C. check her airway for obstructions
Your patient is in shock, but defense mechanisms are currently able to maintain adequate circulation. This is called _____
A. Compensated shock
B. irreversible shock
C. decompensated shock
D. late shock
A. Compensated shock
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:
A. administer high flow supplemental oxygen
B. wrap the towel with pressure bandages
C. apply a tourniquet proximal to the wrist
D. apply pressure to the brachial artery
C. apply a tourniquet proximal to the wrist
