A client presents with shock in the hospital, and has a history of a recent infection. What does the nurse suspect that this client is experiencing?

Cardiogenic shock

Neurogenic shock

Hypovolemic shock

Septic shock

Answer and Explanation

The Correct Answer is D

A) Cardiogenic shock:
Cardiogenic shock occurs when the heart is unable to pump enough blood to meet the body's needs, often due to myocardial infarction (heart attack) or other conditions affecting the heart's function. The client's history of a recent infection does not align with the etiology of cardiogenic shock.

B) Neurogenic shock:
Neurogenic shock occurs due to dysfunction of the autonomic nervous system, typically as a result of spinal cord injury or severe brain injury. It is characterized by widespread vasodilation and bradycardia. The client's history of a recent infection does not align with the etiology of neurogenic shock.

C) Hypovolemic shock:
Hypovolemic shock occurs due to a significant loss of blood volume, such as from trauma, hemorrhage, or dehydration. While infection can lead to fluid loss and dehydration in some cases, the client's history of a recent infection suggests a different etiology, specifically septic shock, which is driven by the systemic inflammatory response to infection.

D) Septic shock.
Septic shock is a type of distributive shock caused by a systemic response to infection. It occurs when an infection triggers a widespread inflammatory response, leading to vasodilation, increased capillary permeability, fluid loss from the bloodstream, and impaired tissue perfusion. The client's history of a recent infection suggests that the shock may be septic in nature.

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Free Nursing Study Resources

Correct Answer is ["Antidiarrheals"]

Explanation

Antidiarrheal medications are the most effective drugs for controlling severe diarrhea. These medications work by slowing down bowel movements and reducing the frequency and liquidity of stools. The two main types of antidiarrheal drugs are:

Loperamide: Loperamide is an over-the-counter antidiarrheal medication that works by slowing down the movement of the intestines and reducing the frequency of bowel movements. It is effective for treating acute diarrhea and traveler's diarrhea.

Bismuth subsalicylate: Bismuth subsalicylate is another over-the-counter medication that can help control diarrhea. It works by reducing inflammation in the intestines and slowing down the passage of stools. Bismuth subsalicylate also has antimicrobial properties, which may help in cases of infectious diarrhea.

These medications are often used in combination with rehydration therapy to manage severe diarrhea effectively. However, it is important to use antidiarrheal medications cautiously and under the guidance of a healthcare professional, as they may not be suitable for all individuals, especially those with certain medical conditions or those taking other medications. Additionally, it is essential to address the underlying cause of diarrhea, especially if it persists or worsens despite treatment with antidiarrheal medications. Consulting a healthcare provider is recommended for proper diagnosis and management of severe diarrhea.

A. Family history B. Blood type A C. Acetaminophen (Tylenol) intake for pain D. Smoking tobacco E. Drinking caffeine

Correct Answer is ["A","D","E"]

Explanation

A. Family history: Having a family history of peptic ulcers increases the risk of developing the condition, suggesting a genetic predisposition.

B. Blood type A: There is no direct association between blood type A and peptic ulcer disease.

C. Acetaminophen (Tylenol) intake for pain: Acetaminophen is generally considered safe for pain relief and is not a significant risk factor for peptic ulcer disease. However, nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen, and naproxen are known to increase the risk of peptic ulcers.

D. Smoking tobacco: Smoking tobacco is a significant risk factor for peptic ulcer disease. Tobacco use increases stomach acid production, weakens the protective lining of the stomach and duodenum, and impairs the healing of ulcers.

E. Drinking caffeine: While caffeine consumption alone may not directly cause peptic ulcers, excessive intake of caffeinated beverages such as coffee, tea, and soda can aggravate existing ulcers by stimulating stomach acid production and increasing gastric acidity.

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A client presents with shock in the hospital, and has a history of a recent infection. What does the nurse suspect that this client is experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

. ........................are the most effective drugs for controlling severe diarrhea.

Correct Answer is ["Antidiarrheals"]

Explanation

What are the risk factors associated with peptic ulcer disease? (Select All that Apply.)

Correct Answer is ["A","D","E"]

Explanation

Patients should be advised not to overuse laxatives, because the smooth muscle in the colon can lose its tone. What condition should the nurse warn the client can occur if this happens?

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A nurse is reinforcing teaching a client who has peptic ulcer disease and is starting therapy with sucralfate. Which of the following instructions should the nurse include in the teaching?