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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["10"]

Explanation

To administer the correct dose of valproic acid, which is 500 mg, when the available oral solution concentration is 250 mg per 5 mL, the nurse needs to calculate the volume of the solution required.

The calculation is as follows: (500 mg) / (250 mg/5 mL) = 2 x 5 mL = 10 mL.

Therefore, the nurse should administer 10 mL of the valproic acid oral solution to deliver a dose of 500 mg.

A. Chronic diarrhea B. Chronic constipation C. Frequent vomiting D. Chronic nausea

Correct Answer is B

Explanation

A) Chronic diarrhea:
Overuse of laxatives is more likely to lead to chronic constipation rather than chronic diarrhea. Laxatives are typically used to treat constipation by promoting bowel movements, but overuse can disrupt normal bowel function and result in long-term constipation.

B) Chronic constipation.
Overuse of laxatives can lead to dependence on laxatives for bowel movements and can cause the smooth muscle in the colon to become less responsive to normal stimuli, resulting in decreased muscle tone. This can eventually lead to chronic constipation, where the colon becomes less effective at moving stool through the digestive tract, resulting in infrequent or difficult bowel movements.

C) Frequent vomiting:
Overuse of laxatives does not typically lead to frequent vomiting. Vomiting is more commonly associated with conditions affecting the upper gastrointestinal tract, such as gastroenteritis, gastritis, or other gastrointestinal disorders.

D) Chronic nausea:
Overuse of laxatives may cause gastrointestinal discomfort or upset stomach, but it is not typically associated with chronic nausea. Chronic nausea may be caused by various factors such as gastrointestinal disorders, medications, or other underlying medical conditions unrelated to laxative use.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

A nurse is preparing to administer valproic acid 500 mg PO. Available is valproic acid oral solution 250 mg/5 mL. How many mL should they administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["10"]

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?

Correct Answer is B

Explanation

Which instruction is most appropriate for a client who is prescribed pancrelipase (Cotazym)?

After taking the medication guaifenesin (Mucinex), the client complains of coughing up phlegm. What is the best response by the nurse?

In the plan of care, the most important intervention for a patient experiencing shock is assessing:

The nurse explains to the client the different ways to administer inhalation medications. Which administration technique should be included in the teach session? (Select All that Apply.)

Decongestants should be used with caution in patients with which diagnoses? (Select All that Apply.)

A nurse is caring for a client who has been taking oxymetazoline (Afrin) nasal spray for the past 10 days for allergic rhinitis. The nurse should monitor client for which of the following manifestations as an adverse effect of this medication?

An ulcer caused by H. pylori can be successfully treated with which classification of drugs?