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NR341 Exam 2 Review: Complex Adult Health (CARE PLAN) Study Guide & Practice Questions

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Prepare for your NR341 Complex Adult Health Exam 2 with a comprehensive review of key topics. This guide covers essential concepts for creating care plans, including management of cardiac, respiratory, and endocrine disorders. Find study strategies, priority nursing interventions, and pathophysiology review to help you succeed.

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Page 1 of 40


EXAM 2 : NR341 / NR 341 (LATEST

UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)

COMPLEX ADULT HEALTH | QUESTIONS & ANSWERS |

GRADE A | 100% CORRECT (VERIFIED SOLUTIONS) -

CHAMBERLAIN

What kind of shock is this?

⬇️ HR, CO, CI, CVP, SVR .....ANSWER.....Neurogenic shock

What kind of shock is this?

⬆️ HR, ⬇️ CO, CI, CVP, PAOP .....ANSWER.....Anaphylactic

shock

What kind of shock is this?

⬆️ HR, CVP, PAP, PAOP ⬇️ CO, CI .....ANSWER.....Obstructive

shock

What kind of shock is this?

,Page 2 of 40


⬆️ HR, CVP, PAOP ⬇️ CO, CI, .....ANSWER.....Cardiogenic

shock

What kind of shock is this?

⬆️ HR, SVR ⬇️ CO, CI, CVP, PAOP, BP

.....ANSWER.....Hypovolemic shock

What is MODS .....ANSWER.....Multi organ dysfunction syndrome

(SIRS can transition into MODS).

What is the initial stage of shock? .....ANSWER.....Slight drop of

BP and slight increase in HR. most of the time HCP don't catch it.

Patient feels fatigued. Give fluids and bed rest

What is compensatory stage of shock? .....ANSWER.....Lower BP

than before but not a lot. Pale, tachycardia, and restless. Give

antibiotics, fluid boils, and rest

,Page 3 of 40


What is progressive stage of shock .....ANSWER.....BP drops,

hypoxia, oLiguria, rapid pulse, low PH, increased lactic acid,

edema, SIRS. Give vasopressin's and fluids

What is refractory stage of shock? .....ANSWER.....Excessive cell/

organ damage. Hard to bring back.

What is hypovolemic shock? .....ANSWER.....loss of too much

blood/fluid in the body

What is treatment of hypovolemic shock? .....ANSWER.....Stop the

cause, give blood, or give NACL or LR (an isotonic fluid)

What is cardiogenic shock? .....ANSWER.....Occurs when the heart

is damaged and unable to supply sufficient blood to the body

(MI, myocarditis, myocardial contusion) will often hear crackles in

the lungs

What is the treatment for cardiogenic shock?

.....ANSWER.....Treat pump failure, dopamine (increase HR),

dobutamine (helps heart contractility), diuretics (decrease after

, Page 4 of 40


load), intraaortic balloon pump (help coronary perfusion and

increase CO), LVAD machine

What is obstructive shock? .....ANSWER.....Conditions that obstruct

the blood flow, decrease the perfusion to tissues. (Cardiac

tamponade, tension pneumothorax, pericarditis, pulmonary

embolism, severe HTN).

treatment of obstructive shock .....ANSWER.....Treat the blockage,

rest, and fluid

What is anaphylactic shock? .....ANSWER.....an extreme, often

life-threatening allergic reaction to an antigen to which the body

has become hypersensitive.

Treatment of anaphylactic shock .....ANSWER.....Re-establishment

of airway and oxygen therapy, administration of epinephrine to

raise blood pressure and dilate bronchi, administration of

diphenhydramine to block additional release of histamine,

corticosteroids to help with inflammation, and fluids

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