Chapter 13 Quiz

A 20-year-old male has a large laceration to his wrist. He is holding a blood-soaked towel over the wound, but it continues to bleed rapidly. You should:

apply a tourniquet proximal to the wrist

A 70-year-old female was recently discharged from the hospital following a total hip replacement. Today, she presents with restlessness, tachycardia, and a blood pressure of 90/64 mm Hg. Her skin is hot and moist. You should be MOST suspicious that she is experiencing:

septic shock

All of the following conditions should make you suspect shock, EXCEPT:

ischemic stroke

capillary sphincters are:

circular muscular walls that regulate blood flow through the capillaries

Clinical signs of compensated shock include all of the following EXCEPT:

absent peripheral pulses

Distributive shock occurs when:

widespead dilation of the blood vessles causes blood to pool in the vascular beds

Hypovolemic shock caused by severe burns is the result of a loss of:

plasma

In an acute injury setting, neurogenic shock is commonly accompanied by:

hypothermia

Neurogenic shock occurs when:

failure of the nervous system causes widespread vasodilation

One of the primary waste products of a normal cellular metabolism that must be removed from the body by the lungs is:

carbon dioxide

Pulmonary edema and impaired ventilation occur during:

cardiogenic shock

Shock is the result of:

hypoperfusion to the cells of the body

To protect vital organs, the body compensates by directing blood flow away from organs that are more tolerant of low flow, such as:

the skin

Which of the following clinical signs is unique to anaphylactic shock?

wheezing

Which of the following injuries would MOST likely cause obstructive shock?

cardiac tamponade

Which of the following is the ONLY action that can prevent death from a tension pneumothorax?

decompression of the injured side of the chest

Which of the following patients is in decompensated shock?

A 20-year-old female with absent radian pulses and dilated pupils

Which of the following statements regarding anaphylactic shock is correct?

Subsequent exposure after sensitization often produces a more severe reaction

Which of the following would MOST likely result in hemorrhagic shock:

liver laceration

When assessing a patient with signs and symptoms of shock, it is MOST important to remember that:

blood pressure may be the last measurable factor to change in shock