The compensatory stage of shock results in what assessment findings?

Hypotension, rapid thready pulse, cool pale skin.

Increased urine output.

Pale, mottled, or cyanotic skin.

Stupor and loss of reflexes.

Answer and Explanation

The Correct Answer is A

Choice A reason: Hypotension, rapid thready pulse, cool pale skin. In the compensatory stage of shock, the body attempts to maintain blood pressure and perfusion by increasing the heart rate and constricting blood vessels. Despite these efforts, hypotension can occur, and the skin may become cool and pale due to reduced blood flow to the periphery.

Choice B reason: Increased urine output. In shock, particularly during the compensatory stage, urine output typically decreases as the body attempts to conserve fluids. Increased urine output would not be expected in this context.

Choice C reason: Pale, mottled, or cyanotic skin. These skin changes are more characteristic of the progressive or irreversible stages of shock, indicating severe hypoperfusion and tissue hypoxia. In the compensatory stage, the skin is usually cool and pale, but not yet mottled or cyanotic.

Choice D reason: Stupor and loss of reflexes. These neurological changes are more typical of the later stages of shock when perfusion to the brain is severely compromised. In the compensatory stage, mental status changes may be present but are less severe.

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 C

Explanation

Choice A reason:

Hypotension, or low blood pressure, is a common feature in all types of shock, including hypovolemic, cardiogenic, and septic shock. It is not specific to neurogenic shock and therefore does not help in distinguishing it from other forms of shock.

Choice B reason:

A change in mental status, such as confusion or decreased consciousness, can occur in many types of shock due to decreased cerebral perfusion. This symptom is not unique to neurogenic shock and can be seen in hypovolemic, cardiogenic, and septic shock as well.

Choice C reason:

Bradycardia, or a slow heart rate, is a hallmark of neurogenic shock. This occurs due to disruption of the sympathetic nervous system, which normally maintains a higher heart rate through sympathetic stimulation. In neurogenic shock, the loss of sympathetic tone leads to unopposed parasympathetic activity, resulting in bradycardia. This is in contrast to other forms of shock, which typically present with tachycardia.

Choice D reason:

Warm, edematous skin is not typically associated with neurogenic shock. This symptom may be more relevant in septic shock, where widespread vasodilation can lead to warm skin. However, it is not specific enough to distinguish neurogenic shock from other types of shock.

A. Elevate the head of the bed B. Provide immediate pain relief C. Monitor intake and output D. Practice careful and consistent hand hygiene

Correct Answer is C

Explanation

Choice A reason:

Elevating the head of the bed is a common practice in patient care but is not directly related to preventing hypovolemic shock. This action can help with respiratory comfort and drainage but does not address fluid balance or blood volume, which are critical in preventing hypovolemic shock.

Choice B reason:

Providing immediate pain relief is important for patient comfort and recovery but does not directly prevent hypovolemic shock. While controlling pain can reduce stress on the body, it does not address the fluid and blood volume concerns central to preventing hypovolemic shock.

Choice C reason:

Monitoring intake and output is crucial in preventing hypovolemic shock, especially in postoperative patients. This helps to ensure that fluid balance is maintained, and any significant losses (e.g., through bleeding, vomiting, or excessive drainage) are promptly addressed. Accurate monitoring allows for early intervention to prevent hypovolemic shock.

Choice D reason:

Practicing careful and consistent hand hygiene is essential for preventing infections, which can lead to septic shock, but it is not directly related to preventing hypovolemic shock. While important, hand hygiene does not specifically address the fluid and blood volume issues involved in hypovolemic shock.

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

The compensatory stage of shock results in what assessment findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What clinical manifestation distinguishes or separates neurogenic shock from other forms of shock?

Correct Answer is C

Explanation

The nurse is caring for a patient recovering from surgery. What action should the nurse perform to prevent the onset of hypovolemic shock?

Correct Answer is C

Explanation

In a state of shock, the body attempts to maintain homeostasis by maintaining priority blood flow to the:

What is an integumentary manifestation of anaphylactic shock?

The nurse is caring for a patient who is experiencing shock. What finding would the nurse expect when assessing the abdomen?

Cardiogenic shock occurs when the heart's pumping ability is compromised. What can impair the pumping ability of the heart? Select all that apply.

The nurse is caring for a patient who is the victim of a traumatic motor vehicle accident. Vital signs are: T-98.8°F oral, P-140, B/P-86/52, R-28, pulse oximetry-92% on room air. The nurse would suspect which type of shock?

Which assessment findings indicate to the nurse that a client is exhibiting early clinical manifestations of the compensatory stage of shock? (Select all that apply.)

The compensatory stage of shock results in what assessment findings?

What is a late sign of septic shock?