A cause of hypovolemic shock is hemorrhage.
True
False
The Correct Answer is A
Correct answer: True
Hypovolemic shock occurs when there is a significant reduction in intravascular circulating volume, leading to decreased preload, reduced stroke volume, and diminished cardiac output. Hemorrhage is one of the most common causes because acute blood loss reduces both plasma volume and red blood cell mass, impairing oxygen delivery to tissues. As circulating volume falls, venous return to the heart decreases, resulting in inadequate tissue perfusion. Without prompt fluid and blood replacement, this volume deficit progresses to hypotension, organ hypoxia, and shock.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Brachiocephalic artery: The brachiocephalic artery (trunk) arises from the aortic arch and gives rise to the right common carotid and right subclavian arteries. Through these branches, it ultimately contributes arterial blood flow to the brain, particularly via the right internal carotid and vertebral arteries.
B. Internal carotid artery: The internal carotid artery is a major direct supplier of oxygenated blood to the brain. It enters the cranial cavity and contributes to the Circle of Willis, supplying the anterior and middle cerebral territories.
C. External jugular vein: The external jugular vein is a venous vessel that drains superficial structures of the head and neck. It carries blood away from these regions and does not deliver arterial blood to the brain, making it the exception.
D. Vertebral artery: The vertebral arteries arise from the subclavian arteries and ascend through the transverse foramina of the cervical vertebrae. They enter the cranial cavity and merge to form the basilar artery, supplying the posterior portion of the brain.
E. Common carotid artery: The common carotid arteries bifurcate into the internal and external carotid arteries. The internal carotid branch directly supplies the brain, making the common carotid an essential upstream source of cerebral arterial blood flow.
Correct Answer is D
Explanation
A. Ensuring all brain areas receive an equal amount of blood flow: Astrocytes do not directly distribute blood equally throughout the brain. Blood flow is regionally regulated based on neuronal activity through neurovascular coupling, rather than a uniform distribution enforced by astrocytes.
B. Enhancing oxygen delivery by dilating blood vessels: While astrocytes can influence local vasodilation through signaling to smooth muscle cells in nearby arterioles, their role is modulatory rather than directly enhancing oxygen delivery. The primary effect is part of neurovascular coupling, not a broad oxygenation mechanism.
C. Regulating blood pressure within the brain's arteries: Systemic and cerebral arterial blood pressure is controlled mainly by the autonomic nervous system and baroreceptors, not astrocytes. Astrocytes act locally at the capillary level rather than controlling overall cerebral arterial pressure.
D. Forming a protective barrier around brain capillaries to prevent harmful substance entry: Astrocytes are a critical component of the blood-brain barrier (BBB). Their end-feet enwrap capillaries, supporting tight junction formation in endothelial cells and restricting passage of toxins, pathogens, and large molecules, thereby protecting neuronal tissue and maintaining the brain’s tightly regulated microenvironment.
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