A nurse is assisting in providing care for a client who has obstructive shock. Which of the following diagnoses should the nurse expect?

Third spacing

Cardiac tamponade

Cardiomyopathy

Ruptured aneurysm

Answer and Explanation

The Correct Answer is B

A. Third spacing involves the abnormal accumulation of fluid in extracellular spaces and is more commonly associated with hypovolemic or distributive shock, not obstructive shock.

B. Cardiac tamponade is a classic cause of obstructive shock, where the accumulation of fluid in the pericardial sac compresses the heart, leading to decreased cardiac output and obstructed blood flow.

C. Cardiomyopathy is a disease of the heart muscle that can lead to heart failure but is typically associated with cardiogenic shock, not obstructive shock.

D. A ruptured aneurysm would most likely cause hypovolemic shock due to blood loss, not obstructive shock.

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Correct Answer is C

Explanation

A. Albuterol may be used to treat bronchospasm associated with anaphylaxis, but it is not the first-line treatment.

B. Hydrocortisone sodium succinate is a corticosteroid that can help reduce inflammation, but it is not the first-line treatment in acute anaphylaxis.

C. Epinephrine is the first-line treatment for anaphylactic shock. It acts quickly to constrict blood vessels, increase heart rate, and open airways, counteracting the severe allergic reaction.

D. Diphenhydramine is an antihistamine that can help alleviate allergic symptoms but should be given after epinephrine in anaphylactic emergencies.

A. Assume position with legs and rectum lower than the stomach. B. Ambulate several times a day. C. Use a straw. D. Drink cold liquids.

Correct Answer is B

Explanation

A. Positioning with legs and rectum lower than the stomach is not recommended and may not relieve gas or discomfort.

B. Ambulation helps stimulate peristalsis and the passage of gas, which can relieve discomfort from abdominal distension and flatus.

C. Using a straw can increase air swallowing, which may worsen gas and abdominal discomfort.

D. Cold liquids may slow down digestion and peristalsis, potentially worsening abdominal distension.

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A nurse is assisting in providing care for a client who has obstructive shock. Which of the following diagnoses should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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