ENA Shock Management Guide: Emergency Nursing Assessment, Types of Shock & Critical Care Interventions

ENA Shock Management Guide: Emergency Nursing Assessment, Types of Shock & Critical
Care Interventions



D - ANS ✔✔Which finding is an early sign of decreased tissue perfusion?



A. Unresponsiveness

B. Confusion

C. Obtundation

D. Restlessness



C - ANS ✔✔During times of decreased tissue perfusion, the body shunts blood away from which
organ?



A. Heart

B. Brain

C. Kidneys

D. Lungs



A - ANS ✔✔A patient with an isolated blunt cardiac injury is most at risk for which type of
shock?



A. Cardiogenic

B. Hypovolemic

C. Obstructive

D. Distributive

, B - ANS ✔✔A multiple trauma patient with sustained blood loss is mildly anxious. He has a
blood pressure of 120/90 mm Hg, a pulse of 110 beats per minute, and a respiratory rate of 22
breaths per minute. Based on these findings, what estimated percentage of blood loss has
occurred?



A. Up to 15%

B. 15% to 30%

C. 30% to 40%

D. More than 40%



C - ANS ✔✔Which hemodynamic finding supports the diagnosis of cardiogenic shock?



A. Increased cardiac output

B. Decreased systemic vascular resistance

C. Increased right atrial pressure

D. Decreased heart rate



C - ANS ✔✔What term is used to indicate the difference between the cellular demand for
oxygen and the cellular consumption of available oxygen?



A. Oxygen debt

B. Oxygen consumption

C. Oxygen delivery

D. Anaerobic metabolism



C - ANS ✔✔Which manifestation should you expect in a patient with shock?