PTS 1 DIF Cognitive Level Remembering 7 Four patients are in the intensive care

Pts 1 dif cognitive level remembering 7 four patients

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PTS: 1 DIF: Cognitive Level: Remembering7. Four patients are in the intensive care unit with different types of shock. Which patient would the healthcare professional assess as the priority? a. Septicb. Hypovolemic
496 Test Bank - Pathophysiology: The Biologic Basis for Disease in Adults and Children (8th) c. Anaphylacticd. NeurogenicANS: C Anaphylactic shock is characterized by massive vasodilation and widespread inflammation that can lead to death in minutes if treatment is not instituted immediately. If all else is equal, the healthcare professional should assess the patient with anaphylactic shock first.PTS: 1 DIF: Cognitive Level: Applying8. A patient is diagnosed with septic shock. What action by the healthcare professional will address the main underlying pathophysiologic mechanism of this disorder? a. Administer antibiotics as soon as possible.b. Provide high volumes of isotonic fluid.c. Place patient on an intra-aortic balloon pump.d. Give the patient antihistamines and steroids.ANS: A Septic shock begins when bacteria enter the bloodstream, so the effective treatment for this specific problem is antibiotics. High volumes of fluid may been needed in all types of shock other than cardiogenic. A balloon pump would be beneficial in cardiogenic shock. Antihistamines and steroids would be used in anaphylactic shock.PTS: 1 DIF: Cognitive Level: Applying9. For which type of shock would antihistamines and corticosteroids be prescribed? a. Septicb. Anaphylacticc. Hypovolemicd. CardiogenicANS: B Only anaphylactic shock responds to the administration of epinephrine to decrease mast cell and basophil degranulation. Antihistamines and steroids are administered to stop the inflammatory reaction. Septic shock specifically requires antibiotics. Hypovolemic shock is treated with large amounts of fluid. Cardiogenic shock requires the use of drugs or devices to improve the pumping ability of the heart.PTS: 1 DIF: Cognitive Level: Remembering10. Which condition is best defined as a clinical syndrome involving a systemic response to infection, which is manifested by two or more of the systemic inflammatory response syndrome criteria? a. Bacteremiab. Sepsisc. Septicemiad. Septic shockANS: B
497 Test Bank - Pathophysiology: The Biologic Basis for Disease in Adults and Children (8th) Of the options available, only sepsis is best defined as a systemic response to infection that is manifested by two or more criteria of the systemic inflammatory response syndrome.PTS: 1 DIF: Cognitive Level: Remembering11. The student learns that which mechanism causes organ injury in primary multiple organ dysfunction syndrome (MODS)? a. Impaired immune responseb. Impaired glucose usec. Impaired perfusiond. Impaired ventilationANS: C In primary MODS, the organ injury is directly associated with a specific insult, most often ischemia or impaired perfusion from an episode of shock or trauma, thermal injury, soft tissue necrosis, or invasive infection. Although MODS can be associated with impaired immune

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