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 D

Explanation

A. Consuming clear liquids up to the time of surgery is generally not allowed due to the risk of aspiration during anesthesia.

B. Tongue studs and other jewelry should be removed before surgery to prevent injury or interference with medical equipment.

C. Taking morning vitamins before surgery is typically not permitted unless specifically allowed by the healthcare provider, as they can affect anesthesia or surgical outcomes.

D. Allowing the client to keep her hearing aids in until the last possible moment helps with communication, reduces anxiety, and ensures the client can hear important information during pre-operative preparations.

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 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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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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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?