PN3 EXAM 3 QUESTIONS AND
ANSWERS
Signs and symptoms of hypovolemic shock
tachycardia, tachypnea, hypotension, anxiety, restlessness, delayed cap refill, poor
circulation, decreased kidney function less than 10ml/hour. if not corrected, can lead to
change in LOC
Care of pt in cardiogenic shock with hypotension
Place in trendelenburg if systolic less than 80. Monitor VS including I&O
Physiological changes in anaphylaxis
Airway closes due to edema and bronchospasms. Angioedema #1 sign of anaphylactic
shock
Cause of anaphylactic shock
hypersensitivity reaction caused by allergen comes in contact with the body thru
ingestion, skin, or inhalation
Cause of cardiogenic shock
acute MI, ventricular rupture
Cause of hypovolemic shock
acute blood loss from trauma, surgery, or severe fluid loss
Cause of neurogenic shock
spinal cord injuries
Cause of septic shock
infection in blood, bone, GI tract, cardiac, skin, or CNS
Treatment of hypovolemic shock
IV fluids of normal saline and lactacted ringers. Blood products including electrolytes,
especially potassium
Epi pen education
Injected subQ in outer area of thigh. Do not inject into buttocks
Sepsis risks
Immunocompromised. Infants, older population, diabetics
Signs of CHF
fatigue, edema in lower extremities, weight gain, increased urine output especially at
night, irregular heartbeat, cough from congested lungs, wheezing, SOB d/t pulm edema,
chest pain, tachypnea, fainting, cyanosis
Risk for anaphylactic shock
Penicillin allergies, insect bites/stings, allergies or asthma, family or personal history
Nurses responsibility for preventing shock
Monitor patients for signs and symptoms of shock, take immediate action if pt becomes
positive for shock
Phases of septic shock
Sepsis, severe sepsis, and septic shock
, Sepsis
body temp above 101 or below 96.8, heart rate above 90, resp higher than 20/min
Severe sepsis
Significantly decreased urine output, abrupt change in mental status, decreased
platelets, dyspnea, abnormal heart pumping, abdominal pain
Septic shock
Must have s/sx of severe sepsis, low blood pressure that doesn't adequately respond to
simple fluid replacement
Anaphylactic shock treatment and complications
Epi-pen, corticosteroids. Complications include blocked airway, cardiac arrest,
respiratory arrest, shock
Risk of high volume IV infusions
infiltration. Hypervolemia - can be caused by excessive intake of IV solutions and blood
transfusions, meds, or diagnostic contrast dyes
Signs of cardiogenic shock
mild tachycardia, decreased BP, decreased urinary output, anxiety, restlessness
Legal issues for nurses with alternative/complementary therapies
Nurses wanting to use CAMs should ask client if currently using CAM, purpose, and
outcome. Educate about CAM. Create supportive/healing environment. Obtain
necessary training, etc. Be aware of risks. Provide nonjudgmental supportive counsel
Alternative therapy
Therapy used instead of conventional or mainstream medical practice
Complementary therapy
Therapy used in conjunction with conventional medical therapies
Acupressure
A technique of releasing blocked energy within a person when specific points along the
meridians are pressed or massaged by the practitioner's fingers or hands
Acupuncture
Technique of application of needles and heat to various points on the body to alter the
energy flow
Ayurveda
"the science of life" refers to india's traditional medicine, which has underlying spiritual
basis
Body/mind centering
inseparable connection and operation of thoughts, feelings, and physiologic function
Biofeedback
measures physiologic responses that assist individuals to improve their health by using
signals from their own bodies
phytochemical pathways
physiologically active compound present in plants in very small amounts that gives
plants flavor, odor, and color
psychoneural medications
of or relating to the interrelationship of the nervous system and conssciousness, relating
to the mental functions of the CNS
Reflexology
ANSWERS
Signs and symptoms of hypovolemic shock
tachycardia, tachypnea, hypotension, anxiety, restlessness, delayed cap refill, poor
circulation, decreased kidney function less than 10ml/hour. if not corrected, can lead to
change in LOC
Care of pt in cardiogenic shock with hypotension
Place in trendelenburg if systolic less than 80. Monitor VS including I&O
Physiological changes in anaphylaxis
Airway closes due to edema and bronchospasms. Angioedema #1 sign of anaphylactic
shock
Cause of anaphylactic shock
hypersensitivity reaction caused by allergen comes in contact with the body thru
ingestion, skin, or inhalation
Cause of cardiogenic shock
acute MI, ventricular rupture
Cause of hypovolemic shock
acute blood loss from trauma, surgery, or severe fluid loss
Cause of neurogenic shock
spinal cord injuries
Cause of septic shock
infection in blood, bone, GI tract, cardiac, skin, or CNS
Treatment of hypovolemic shock
IV fluids of normal saline and lactacted ringers. Blood products including electrolytes,
especially potassium
Epi pen education
Injected subQ in outer area of thigh. Do not inject into buttocks
Sepsis risks
Immunocompromised. Infants, older population, diabetics
Signs of CHF
fatigue, edema in lower extremities, weight gain, increased urine output especially at
night, irregular heartbeat, cough from congested lungs, wheezing, SOB d/t pulm edema,
chest pain, tachypnea, fainting, cyanosis
Risk for anaphylactic shock
Penicillin allergies, insect bites/stings, allergies or asthma, family or personal history
Nurses responsibility for preventing shock
Monitor patients for signs and symptoms of shock, take immediate action if pt becomes
positive for shock
Phases of septic shock
Sepsis, severe sepsis, and septic shock
, Sepsis
body temp above 101 or below 96.8, heart rate above 90, resp higher than 20/min
Severe sepsis
Significantly decreased urine output, abrupt change in mental status, decreased
platelets, dyspnea, abnormal heart pumping, abdominal pain
Septic shock
Must have s/sx of severe sepsis, low blood pressure that doesn't adequately respond to
simple fluid replacement
Anaphylactic shock treatment and complications
Epi-pen, corticosteroids. Complications include blocked airway, cardiac arrest,
respiratory arrest, shock
Risk of high volume IV infusions
infiltration. Hypervolemia - can be caused by excessive intake of IV solutions and blood
transfusions, meds, or diagnostic contrast dyes
Signs of cardiogenic shock
mild tachycardia, decreased BP, decreased urinary output, anxiety, restlessness
Legal issues for nurses with alternative/complementary therapies
Nurses wanting to use CAMs should ask client if currently using CAM, purpose, and
outcome. Educate about CAM. Create supportive/healing environment. Obtain
necessary training, etc. Be aware of risks. Provide nonjudgmental supportive counsel
Alternative therapy
Therapy used instead of conventional or mainstream medical practice
Complementary therapy
Therapy used in conjunction with conventional medical therapies
Acupressure
A technique of releasing blocked energy within a person when specific points along the
meridians are pressed or massaged by the practitioner's fingers or hands
Acupuncture
Technique of application of needles and heat to various points on the body to alter the
energy flow
Ayurveda
"the science of life" refers to india's traditional medicine, which has underlying spiritual
basis
Body/mind centering
inseparable connection and operation of thoughts, feelings, and physiologic function
Biofeedback
measures physiologic responses that assist individuals to improve their health by using
signals from their own bodies
phytochemical pathways
physiologically active compound present in plants in very small amounts that gives
plants flavor, odor, and color
psychoneural medications
of or relating to the interrelationship of the nervous system and conssciousness, relating
to the mental functions of the CNS
Reflexology
