Sepsis or Septic Shock Question and
answers verified to pass
Which condition is the most common cause of neurogenic shock?
A. Skeletal dysplasia
B. Guillain Barré syndrome
C. Spinal cord injury
D. Spinal anesthesia - correct answers C. Spinal cord injury
The most common cause of neurogenic shock is spinal cord injury and it
typically occurs with injuries above the T6 level (high thoracic and cervical).
Which condition closely mimics and is sometimes referred to as neurogenic
shock?
A. Obstructive shock
B. Refractory shock
C. Spinal shock
D. Compensated shock - correct answers C. Spinal shock
Spinal shock is sometimes referred to and closely mimics neurogenic shock.
Spinal shock differs in that signs and symptoms may be transient in nature. It
typically does not occur due to ineffective tissue perfusion.
Which assessment finding indicates neurogenic shock is affecting a patient's
thermoregulation?
A. Poikilothermia
B. Mottled extremities
C. Erythematous abdomen
, D. Cold, clammy upper extremities - correct answers A. Poikilothermia
In neurogenic shock, impaired thermoregulation occurs because of loss of
vasomotor tone in the cutaneous blood vessels that dilate and constrict to
maintain body temperature. The patient becomes poikilothermic, or dependent
on the environment for temperature regulation.
Which strategy can be used for a patient with bradycardia resulting from
neurogenic shock?
A. Cardiac ablation
B. Diltiazem
C. Cardioversion
D. Atropine - correct answers D. Atropine
An anticholinergic agent, atropine can be used to treat bradycardia caused by
neurogenic shock. Typically, treatment occurs when patients are symptomatic
(i.e., short of breath, syncope).
Which symptom of neurogenic shock results in cardiovascular instability?
A. Hypervolemia
B. Tachycardia
C. Hypothermia
D. Dyspnea - correct answers C. Hypothermia
Hypothermia and decreased thermoregulation results in cardiovascular
instability.
Which result would indicate a sufficient amount of fluid was given for adequate
tissue perfusion for a patient with a spinal cord injury?
A. Lactate level of 6 mmol/L
B. Arterial blood gas pH of 7.26
C. Blood pressure of 102/58