A nurse is assisting in explaining the pathophysiology of systemic inflammatory response syndrome (SIRS) to a group of newly licensed nurses. Which of the following statements by the nurse is accurate?

"Activation of the inflammatory cascade causes increased perfusion."

The major organ prone to injury during SIRS is the heart."

Spleen dysfunction causes blood clotting issues."

"A deregulated cytokine storm causes an inflammatory response."

Answer and Explanation

The Correct Answer is D

A. Activation of the inflammatory cascade in SIRS typically leads to decreased perfusion and tissue damage due to widespread inflammation and capillary leakage.

B. SIRS can affect multiple organs, but it is particularly known for impacting the lungs and kidneys rather than the heart.

C. While SIRS can involve coagulation issues, these are not specifically due to spleen dysfunction but rather to the widespread inflammatory response.

D. SIRS is driven by a deregulated cytokine storm, which leads to an excessive and uncontrolled inflammatory response, potentially resulting in multiple organ failure.

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Correct Answer is C

Explanation

A. Administering pain medication should be done after assessing the pain to ensure appropriate treatment.

B. Reviewing the effects of the pain medication is important but should be done after determining the specifics of the pain.

C. The first step in pain management is to assess the pain, including its location, intensity, and characteristics, to ensure that the appropriate treatment is provided.

D. Repositioning the client might help alleviate pain, but it should be considered after assessing the pain.

A. “Distributive shock occurs due to increased systemic vascular resistance." B. “Distributive shock occurs due to loss of blood volume." C. "Distributive shock occurs due to loss of myocardial contractility." D. Distributive shock occurs due to systemic vasodilation."

Correct Answer is D

Explanation

A. Increased systemic vascular resistance is more characteristic of obstructive or cardiogenic shock rather than distributive shock.

B. Loss of blood volume describes hypovolemic shock, not distributive shock.

C. Loss of myocardial contractility pertains to cardiogenic shock, not distributive shock.

D. Distributive shock is characterized by systemic vasodilation leading to a decrease in systemic vascular resistance and inadequate tissue perfusion.

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A nurse is assisting in explaining the pathophysiology of systemic inflammatory response syndrome (SIRS) to a group of newly licensed nurses. Which of the following statements by the nurse is accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who requests pain medication. Which of the following actions should the nurse perform first?

Correct Answer is C

Explanation

A nurse and a newly licensed nurse are providing care for a client who has distributive shock. How should the nurse explain the pathophysiology of distributive shock to the newly licensed nurse?

Correct Answer is D

Explanation

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All of the following increase endorphin levels except

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