Which is FALSE regarding the body's compensatory mechanisms for shock?
The neuroendocrine system releases ADН.
The cardiovascular system directs blood to the skin muscles.
The hematologic system initiates the coagulation cascade.
The renal system activates renin to convert angiotensinogen to angiotensin I.
The Correct Answer is B
A. The neuroendocrine system releases ADH: During shock, the neuroendocrine system responds to decreased perfusion by releasing antidiuretic hormone (ADH) from the posterior pituitary. ADH promotes water reabsorption in the kidneys, helping to maintain blood volume and support blood pressure, which is a key compensatory mechanism.
B. The cardiovascular system directs blood to the skin muscles: In shock, the cardiovascular system prioritizes perfusion to vital organs such as the heart, brain, and kidneys, while reducing blood flow to nonessential areas like the skin and skeletal muscles. Directing blood to the skin and muscles would worsen tissue perfusion, making this statement false.
C. The hematologic system initiates the coagulation cascade: Activation of the coagulation system is a compensatory response during shock, particularly in hemorrhagic or hypovolemic states, to minimize blood loss. Platelet aggregation and clot formation help preserve circulating volume and prevent further compromise.
D. The renal system activates renin to convert angiotensinogen to angiotensin I: The renin-angiotensin-aldosterone system (RAAS) is activated in shock when renal perfusion drops. Renin converts angiotensinogen to angiotensin I, which is then converted to angiotensin II, causing vasoconstriction and aldosterone release to retain sodium and water, maintaining blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Correct answer: True
Vascular baroreceptors are specialized stretch-sensitive mechanoreceptors primarily located in the aortic arch and carotid sinuses. They detect changes in arterial blood pressure by sensing the degree of stretch in the vessel walls. When blood pressure rises, increased stretch of these receptors triggers afferent signals to the cardiovascular center in the medulla, leading to parasympathetic activation and sympathetic inhibition, which reduce heart rate and cause vasodilation. Conversely, a drop in blood pressure decreases baroreceptor firing, prompting sympathetic stimulation to increase heart rate, contractility, and vasoconstriction, helping maintain blood pressure within a normal range.
Correct Answer is C
Explanation
A. Large lumens and thin walls: This feature is characteristic of veins, which have larger lumens and thinner walls to accommodate higher blood volume at lower pressure. Arteries, in contrast, have thicker walls and smaller lumens to withstand high-pressure blood flow from the heart.
B. The tunica externa being the thickest layer: In veins, the tunica externa (adventitia) is often the thickest layer, providing structural support. In arteries, the tunica media is usually the thickest layer to handle pulsatile pressure, so this is not unique to arteries.
C. The presence of an external elastic membrane in larger vessels: Larger arteries have an external elastic (elastic lamina) layer between the tunica media and tunica externa, which allows them to stretch and recoil with each heartbeat. This feature is largely absent in veins and is distinctive of arteries, supporting their role in maintaining blood pressure and flow.
D. A smooth endothelium: Both arteries and veins are lined with a smooth endothelial layer to reduce friction and facilitate blood flow. This is not unique to arteries and is common to all blood vessels.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
