The nurse is caring for a client who experienced multiple invasive trauma from a motor vehicle collision and has developed systemic inflammatory response syndrome (SIRS). Which pathophysiological process is most likely associated with the development of SIRS in this client?
Multiple organ dysfunction.
Acute kidney injury.
Intestinal obstruction.
Sepsis.
The Correct Answer is A
A) Multiple organ dysfunction:
Correct. Systemic inflammatory response syndrome (SIRS) is a widespread inflammatory response to a variety of severe clinical insults, including trauma, infection, burns, or other sources of tissue injury. In the context of trauma from a motor vehicle collision, the body may mount a systemic inflammatory response involving multiple organ systems. This can progress to multiple organ dysfunction syndrome (MODS), where there is progressive dysfunction of two or more organ systems.
B) Acute kidney injury:
Acute kidney injury (AKI) can certainly occur in the context of severe trauma and systemic inflammation, such as in SIRS. However, AKI is a specific manifestation rather than the overarching pathophysiological process associated with the development of SIRS.
C) Intestinal obstruction:
Intestinal obstruction is a mechanical obstruction of the intestines and is not typically associated with the development of SIRS unless there is associated ischemia or perforation leading to systemic inflammation.
D) Sepsis:
Sepsis is a severe infection that has spread throughout the body and triggers a systemic inflammatory response. While sepsis can lead to SIRS, it is not the only cause. In this scenario, trauma from a motor vehicle collision is the primary cause of the systemic inflammatory response, rather than infection.
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Related Questions
Correct Answer is A
Explanation
A) Blockage of retinal capillaries causing ischemic damage of the central macular area:
Correct. Blurry central vision that worsens over time can be indicative of macular ischemia, often caused by blockage of retinal capillaries leading to ischemic damage of the central macular area. This condition can occur in diseases such as diabetic retinopathy or retinal vein occlusion.
B) Opaque spoke-like lines developing in the periphery of the lens to the center:
This description is more characteristic of cataracts, which cause visual disturbances such as glare or halos around lights rather than blurry central vision.
C) Tears in the retina that detach from the lining of the posterior eyeball:
Retinal tears and subsequent detachment can cause visual disturbances, but they typically present as sudden onset of floaters, flashes of light, and a curtain-like shadow over the visual field rather than blurry central vision.
D) An increase in intraocular pressure with loss of peripheral vision:
This description is indicative of glaucoma, which can lead to loss of peripheral vision (visual field defects) rather than blurry central vision. Glaucoma-related visual field loss usually begins peripherally and progresses inward, affecting central vision in later stages.
Correct Answer is A
Explanation
A) Multiple organ dysfunction:
Correct. Systemic inflammatory response syndrome (SIRS) is a widespread inflammatory response to a variety of severe clinical insults, including trauma, infection, burns, or other sources of tissue injury. In the context of trauma from a motor vehicle collision, the body may mount a systemic inflammatory response involving multiple organ systems. This can progress to multiple organ dysfunction syndrome (MODS), where there is progressive dysfunction of two or more organ systems.
B) Acute kidney injury:
Acute kidney injury (AKI) can certainly occur in the context of severe trauma and systemic inflammation, such as in SIRS. However, AKI is a specific manifestation rather than the overarching pathophysiological process associated with the development of SIRS.
C) Intestinal obstruction:
Intestinal obstruction is a mechanical obstruction of the intestines and is not typically associated with the development of SIRS unless there is associated ischemia or perforation leading to systemic inflammation.
D) Sepsis:
Sepsis is a severe infection that has spread throughout the body and triggers a systemic inflammatory response. While sepsis can lead to SIRS, it is not the only cause. In this scenario, trauma from a motor vehicle collision is the primary cause of the systemic inflammatory response, rather than infection.
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