What is a late sign of septic shock?

Anorexia and nausea

Generalized malaise

Slowed shallow respirations

Decreased temperature

Answer and Explanation

The Correct Answer is D

Choice A reason:

Anorexia and nausea are common symptoms in many illnesses, including septic shock, but they are not specific late signs. These symptoms can occur early in the disease process and are not definitive indicators of the severity of the condition.

Choice B reason:

Generalized malaise, a feeling of overall discomfort and fatigue, is a nonspecific symptom that can occur in many conditions, including septic shock. It is not a specific late sign and can be present at various stages of the illness.

Choice C reason:

Slowed, shallow respirations can be a sign of respiratory failure, which can occur in severe sepsis or septic shock. However, it is not a specific late sign of septic shock itself. Respiratory patterns can vary depending on the underlying cause and progression of the shock.

Choice D reason:

Decreased temperature, or hypothermia, is a late sign of septic shock. As the body’s compensatory mechanisms fail, the ability to maintain normal body temperature is impaired. This can result in hypothermia, indicating severe and advanced septic shock. The body's metabolic processes slow down, and the overall prognosis becomes poorer as hypothermia sets in.

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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.

A. Cyanosis. B. Urticaria. C. Petechiae. D. Ecchymosis.

Correct Answer is B

Explanation

Choice A reason: Cyanosis. Cyanosis, or a bluish tint to the skin, indicates significant hypoxemia or poor oxygenation. While it can occur in severe anaphylaxis, it is not a primary integumentary manifestation.

Choice B reason: Urticaria. Urticaria, or hives, is a common integumentary manifestation of anaphylactic shock. It appears as raised, red, itchy welts on the skin due to an allergic reaction.

Choice C reason: Petechiae. Petechiae are small, pinpoint hemorrhages under the skin and are not typically associated with anaphylactic shock. They are more related to conditions involving bleeding or clotting disorders.

Choice D reason: Ecchymosis. Ecchymosis, or bruising, is not a characteristic manifestation of anaphylactic shock. It is more related to trauma or bleeding disorders.

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What is a late sign of septic shock?

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Naxlex Comprehensive Predictor Exams

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

What is an integumentary manifestation of anaphylactic shock?

Correct Answer is B

Explanation

The nurse understands that which hemodynamic parameters are consistent with hypovolemic shock? Decreased cardiac output and:

What is the initial therapy of choice for the treatment of anaphylactic shock?

Cardiac output (CO) equals:

The nurse working in the ICU is receiving a client diagnosed with late septic shock. The nurse correlates which clinical manifestations to this stage of septic shock?

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?

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

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

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