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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Correct Answer is D

Explanation

A) The amount of blood pumped by the heart through the circulatory system in 1 minute.
This statement describes cardiac output, which is the volume of blood pumped by the heart in one minute. Cardiac output is not directly related to the process of digestion.

B) Smooth muscle movement of the GI tract by way of contractions.
This statement describes peristalsis, which is the rhythmic contraction of smooth muscles in the GI tract that propels food and digestive contents through the digestive system. While peristalsis is an essential aspect of digestion, it does not encompass the entire process.

C) Neutralization by use of bicarbonate from pancreatic and biliary secretions.
This statement describes the role of bicarbonate in neutralizing stomach acid in the small intestine. Bicarbonate is released from pancreatic and biliary secretions to neutralize acidic chyme from the stomach, creating a more favorable environment for digestive enzymes to function. While this is an important aspect of digestion, it does not fully encompass the entire process.

D) It is the process when food is broken down into molecules that can be absorbed.
Digestion refers to the process by which food is broken down into smaller molecules that can be absorbed and utilized by the body. This process occurs in the gastrointestinal (GI) tract and involves the mechanical and chemical breakdown of food into nutrients such as carbohydrates, proteins, and fats, as well as vitamins and minerals. These nutrients are then absorbed across the lining of the GI tract and transported to cells throughout the body for energy, growth, and repair.

A. Diabetes B. Hypertension C. Hyperthyroidism D. Heart disease E. Allergic rhinitis

Correct Answer is ["B","D"]

Explanation

A. Diabetes: Diabetes is not typically a contraindication for decongestant use. However, patients with diabetes should be cautious with decongestants that contain sugar or other ingredients that may affect blood glucose levels.

B. Hypertension: Decongestants can cause vasoconstriction and increase blood pressure, which may exacerbate hypertension. Patients with hypertension should use decongestants cautiously and under the guidance of a healthcare provider.

C. Hyperthyroidism: While decongestants can stimulate the sympathetic nervous system and may exacerbate symptoms of hyperthyroidism such as tachycardia and palpitations, hyperthyroidism is not typically considered a contraindication for decongestant use. However, patients with hyperthyroidism should use decongestants cautiously and consult with their healthcare provider.

D. Heart disease: Decongestants can increase heart rate and blood pressure, potentially worsening symptoms in patients with heart disease such as coronary artery disease, heart failure, or arrhythmias. Patients with heart disease should use decongestants cautiously and consult with their healthcare provider before use.

E. Allergic rhinitis: Decongestants are often used to relieve nasal congestion associated with allergic rhinitis. While patients with allergic rhinitis may use decongestants, they should still use them cautiously and follow the recommended dosage instructions.

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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

The nurse is teaching a client about digestion. Which statement reflects that the client understands the teaching?

Correct Answer is D

Explanation

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

Correct Answer is ["B","D"]

Explanation

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