SHOCK NURSE SARAH QUIZZES

True or False: Septic shock causes system wide vasodilation which leads to an increase in systemic vascular resistance. In addition, septic shock causes increased capillary permeability and clot formation in the microcirculation throughout the body.

A. True
B. False
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True or False: Septic shock causes system wide vasodilation which leads to an increase in systemic vascular resistance. In addition, septic shock causes increased capillary permeability and clot formation in the microcirculation throughout the body.

A. True
B. False
B.False
A patient is diagnosed with septic shock. As the nurse you know this is a __________ form of shock. In addition, you're aware that __________ and _________ are also this form of shock.

A. obstructive; hypovolemic and anaphylactic
B. distributive; anaphylactic and neurogenic
C. obstructive; cardiogenic and neurogenic
D. distributive; anaphylactic and cardiogenic
B. distributive; anaphylactic and neurogenic
Your patient, who is post-op from a gastrointestinal surgery, is presenting with a temperature of 103.6 'F, heart rate 120, blood pressure 72/42, increased white blood cell count, and respirations of 21. An IV fluid bolus is ordered STAT. Which findings below indicate that the patient is progressing to septic shock? Select all that apply:

A. Blood pressure of 70/34 after the fluid bolus
B. Serum lactate less than 2 mmol/L
C. Patient needs Norepinephrine to maintain a mean arterial pressure (MAP) greater than 65 mmHg despite fluid replacement
D. Central venous pressure (CVP) of 18
A. Blood pressure of 70/34 after the fluid bolus
C. Patient needs Norepinephrine to maintain a mean arterial pressure (MAP) greater than 65 mmHg despite fluid replacement
You're providing care to four patients. Select all the patients who are at risk for developing sepsis:

A. A 35-year-old female who is hospitalized with renal insufficiency and has a Foley catheter and central line in place.
B. A 55-year-old male who is a recent kidney transplant recipient.
C. A 78-year-old female with diabetes mellitus who is recovering from colon surgery.
D. A 65-year-old male recovering from right lobectomy for treatment of lung cancer.
A. A 35-year-old female who is hospitalized with renal insufficiency and has a Foley catheter and central line in place.
B. A 55-year-old male who is a recent kidney transplant recipient.
C. A 78-year-old female with diabetes mellitus who is recovering from colon surgery.
D. A 65-year-old male recovering from right lobectomy for treatment of lung cancer.
A patient with a severe infection has developed septic shock. The patient's blood pressure is 72/44, heart rate 130, respiration 22, oxygen saturation 96% on high-flow oxygen, and temperature 103.6 'F. The patient's mean arterial pressure (MAP) is 53 mmHg. Based on these findings, you know this patient is experiencing diminished tissue perfusion and needs treatment to improve tissue perfusion to prevent organ dysfunction. In regards to the pathophysiology of septic shock, what is occurring in the body that is leading to this decrease in tissue perfusion? Select all that apply:

A. Absolute hypovolemia
B. Vasodilation
C. Increased capillary permeability
D. Increased systemic vascular resistance
E. Clot formation in microcirculation
B. Vasodilation
C. Increased capillary permeability
E. Clot formation in microcirculation
A patient is at risk for septic shock when a microorganism invades the body. Which microorganism is the MOST common cause of sepsis?

A. Fungus
B. Virus
C. Parasite
D. Bacteria
D. Bacteria
A patient with a fever is lethargic and has a blood pressure of 89/56. The patient's white blood cell count is elevated. The physician suspects the patient is developing septic shock. What other findings indicate this patient is in the "early" or "compensated" stage of septic shock? Select all that apply:

A. Urinary output of 60 mL over 4 hours
B. Warm and flushed skin
C. Tachycardia
D. Bradypnea
B. Warm and flushed skin
C. Tachycardia
Your patient is receiving aggressive treatment for septic shock. Which findings demonstrate treatment is NOT being successful? Select all that apply:

A. MAP (mean arterial pressure) 40 mmHg
B. Urinary output of 10 mL over 2 hours
C. Serum Lactate 15 mmol/L
D. Blood glucose 120 mg/dL
E. CVP (central venous pressure) less than 2 mmHg
A. MAP (mean arterial pressure) 40 mmHg
B. Urinary output of 10 mL over 2 hours
C. Serum Lactate 15 mmol/L
E. CVP (central venous pressure) less than 2 mmHg
The physician orders a patient in septic shock to receive a large IV fluid bolus. How would the nurse know if this treatment was successful for this patient?

A. The patient's blood pressure changes from 75/48 to 110/82.
B. Patient's CVP 2 mmHg
C. Patient's skin is warm and flushed.
D. Patient's urinary output is 20 mL/hr.
A. The patient's blood pressure changes from 75/48 to 110/82.
A patient in septic shock receives large amounts of IV fluids. However, this was unsuccessful in maintaining tissue perfusion. As the nurse, you would anticipate the physician to order what NEXT?
A. IV corticosteroids
B. Colloids
C. Dobutamine
D. Norepinephrine
D. Norepinephrine
Your patient, who is post-op from a kidney transplant, has developed septic shock. Which statement below best reflects the interventions you will perform for this patient? A. Administer Norepinephrine before attempting a fluid resuscitation. B. Collect cultures and then administer IV antibiotics. C. Check blood glucose levels before starting any other treatments. D. Administer Drotrecogin Alpha within 48-72 hours.B. Collect cultures and then administer IV antibiotics.A patient in septic shock is experiencing hyperglycemia. The patient is started on an insulin drip. A blood glucose goal for this patient would be: A. <110 mg/dL B. <80 mg/dL C. >200 mg/dL D. <180 mg/dLD. <180 mg/dLA patient is on IV Norepinephrine for treatment of septic shock. Which statement is FALSE about this medication? A. "The nurse should titrate this medication to maintain a MAP of 65 mmHg or greater." B. "This medication causes vasodilation and decreases systemic vascular resistance." C. "It is used when fluid replacement is not unsuccessful." D. "It is considered a vasopressor."B. "This medication causes vasodilation and decreases systemic vascular resistance."Your patient's blood pressure is 72/56, heart rate 126, and respiration 24. The patient has a fungal infection in the lungs. The patient also has a fever, warm/flushed skin, and is restless. You notify the physician who suspects septic shock. You anticipate that the physician will order what treatment FIRST? A. Low-dose corticosteroids B. Crystalloids IV fluid bolus C. Norepinephrine D. 2 units of Packed Red Blood CellsB. Crystalloids IV fluid bolusA patient is being treated for cardiogenic shock. Which statement below best describes this condition? Select all that apply:* A. "The patient will experience an increase in cardiac output due to an increase in preload and afterload." B. "A patient with this condition will experience decreased cardiac output and decreased tissue perfusion." C. "This condition occurs because the heart has an inadequate blood volume to pump." D. "Cardiogenic shock leads to pulmonary edema."B. "A patient with this condition will experience decreased cardiac output and decreased tissue perfusion." D. "Cardiogenic shock leads to pulmonary edema."Cardiac output is very important for determining if a patient is in cardiogenic shock. What is a normal cardiac output in an adult? .* A. 2-5 liters/minute B. 1-3 liters/minute C. 4-8 liters/minute D. 8-10 liters/minuteC. 4-8 liters/minute________________ is the amount the ventricle stretches at the end of diastole.* A. Preload B. Afterload C. Stroke Volume D. ContractilityA. PreloadCardiac output is equal to the heart rate multiplied by the stroke volume. Treatment for cardiogenic shock includes medications that increase cardiac output. One of the factors that help determine cardiac output is stroke volume. Select all the factors that determine stroke volume?* A. Cardiac Index B. Preload C. Pulmonary capillary wedge pressure D. Afterload E. Heart rate F. ContractilityB. Preload D. Afterload F. Contractility_____________ is the force the heart has to pump against to get blood out of the ventricle.* A. Cardiac output B. Cardiac index C. Preload D. AfterloadD. AfterloadTrue or False: If a patient with cardiogenic shock is given a medication that will decrease cardiac afterload, it will decrease stroke volume.* A.True B.FalseB.FalseWhich patient below is at MOST risk for developing cardiogenic shock?* A. A 52-year-old male who is experiencing a severe allergic reaction from shellfish. B. A 25-year-old female who has experienced an upper thoracic spinal cord injury. C. A 72-year-old male who is post-op from a liver transplant. D. A 49-year-old female who is experiencing an acute myocardial infarction.D. A 49-year-old female who is experiencing an acute myocardial infarction.You're caring for a patient with cardiogenic shock. Which finding below suggests the patient's condition is worsening? Select all that apply:* A. Blood pressure 95/68 B. Urinary output 20 mL/hr C. Cardiac Index 3.2 L/min/m2 D. Pulmonary artery wedge pressure 30 mmHgB. Urinary output 20 mL/hr D. Pulmonary artery wedge pressure 30 mmHgA patient with cardiogenic shock has a blood pressure of 70/38. In addition, the patient is experiencing dyspnea with a respiratory rate of 32 breaths per minute and has an oxygen saturation of 82% on room air. On auscultation, you note crackles throughout the lung fields. You notify the physician. What order below would you ask for an order clarification?* A. Dopamine IV stat B. Normal saline IV bolus stat C. Furosemide IV stat D. Place patient on CPAP (continuous positive airway pressure)B. Normal saline IV bolus statYou're assessing your patient with cardiogenic shock, what signs and symptoms do you expect to find in this condition? Select all that apply:* A. Warm, flushed skin B. Prolonged capillary refill C. Urinary output >30 mL/hr D. Systolic blood pressure <90 mmHg E. Crackles in lung fields F. Dyspnea D. Decreased BUN and creatinine G. Strong peripheral pulses H. Chest painB. Prolonged capillary refill D. Systolic blood pressure <90 mmHg E. Crackles in lung fields F. Dyspnea H. Chest painA patient is receiving treatment for an acute myocardial infarction. The nurse is closely monitoring the patient for signs and symptoms associated with cardiogenic shock. Which value below is associated with cardiogenic shock?* A. Cardiac index 1.5 L/min/m2 B. Pulmonary capillary wedge pressure (PCWP) 10 mmHg C. Central venous pressure (CVP) 4 mmHg D. Troponin <0.01 ng/mLA. Cardiac index 1.5 L/min/m2A patient who has cardiogenic shock is experiencing labored breathing and low oxygen levels. A STAT chest x-ray is ordered. The x-ray results show pulmonary edema. The physician orders Furosemide IV. What finding would require immediate nursing action?* A. Blood pressure 98/54 B. Urinary output 45 mL/hr C. Potassium 1.8 mEq/L D. Heart rate 110 bpmC. Potassium 1.8 mEq/LThey physician orders a Dobutamine IV drip on a patient in cardiogenic shock. After starting the IV drip, the nurse would make it priority to monitor for?* A. Rebound hypertension B. Ringing in the ears C. Worsening hypotension D. Severe headacheC. Worsening hypotensionWhich medications below are used in cardiogenic shock that provide a positive inotropic effect on the heart? Select all that apply:* A. Nitroglycerin B. Sodium Nitroprussidde C. Dobutamine D. Norepinephrine E. DopamineC. Dobutamine E. DopamineA patient with cardiogenic shock has an intra-aortic balloon pump. As the nurse you know that during ________ the balloon deflates and during _____ the balloon inflates in a section of the aorta.* A. systole, diastole B. diastole, systole C. inspiration, expiration D. expiration, inspirationA. systole, diastoleYou're precepting a new nurse. You ask the new nurse to list the purpose of why a patient with cardiogenic shock may benefit from an intra-aortic balloon pump. What responses below indicate the new nurse understands the purpose of an intra-aortic balloon pump? Select all that apply:* A. "This device increases the cardiac afterload, which will increase cardiac output." B. "This device will help increase blood flow to the coronary arteries." C. "The balloon pump will help remove extra fluid from the heart and lungs." D. "The balloon pump will help increase cardiac output."B. "This device will help increase blood flow to the coronary arteries." D. "The balloon pump will help increase cardiac output."True or False: Hypovolemic shock occurs where there is low fluid volume in the interstitial compartment.* A.True B.FalseB.FalseAs the nurse you know that in order for hypovolemic shock to occur the patient would need to lose __________ of their blood volume.* A. <30% B. >25% C. >15% D. >10%C. >15%If a patient has a blood volume of 5 Liters and loses 2 Liters, what is the percentage amount of volume loss this patient has experienced?* A. 25% B. 40% C. 30% D. 10%B. 40%A patient who is experiencing hypovolemic shock has decreased cardiac output, which contributes to ineffective tissue perfusion. The decrease in cardiac output occurs due to?* A. An increase in cardiac preload B. An increase in stroke volume C. A decrease in cardiac preload D. A decrease in cardiac contractilityC. A decrease in cardiac preloadTrue or False: A patient with acute pancreatitis is presenting with Turner and Cullen's Sign. This patient is at risk for absolute hypovolemic shock.* A.True B.FalseB.FalseSelect all the conditions below that increases a patient's risk for absolute hypovolemic shock:* A. Burns B. Vomiting C. Long bone fracture D. Surgery E. Diarrhea F. SepsisB. Vomiting D. Surgery E. DiarrheaA patient has a 10% loss of their blood volume. Select all the signs and symptoms this patient may present with?* A. Cool, clammy skin B. Blood pressure within normal limits C. Anxiety D. Capillary refill less than 2 seconds E. Urinary output greater than 30 mL/hr F. Mild tachycardiaB. Blood pressure within normal limits D. Capillary refill less than 2 seconds E. Urinary output greater than 30 mL/hrDuring what stage (or class) of hypovolemic shock does the sympathetic nervous system attempt to maintain cardiac output?* A. I B. III C. IV D. IID. IIOne of your patients begins to vomit large amounts of bright red blood. The patient is taking Warfarin. You call a rapid response. Which assessment findings indicate this patient is developing hypovolemic shock? Select all that apply:* A. Temperature 104.8 'F B. Heart rate 40 bpm C. Heart rate 140 bpm D. Anxiety, restlessness E. Urinary output 15 mL/hr F. Blood pressure 70/56 G. Pale, cool skin H. Weak peripheral pulses I. Blood pressure 220/106C. Heart rate 140 bpm D. Anxiety, restlessness E. Urinary output 15 mL/hr F. Blood pressure 70/56 G. Pale, cool skin H. Weak peripheral pulsesYou're providing care to a patient who has experienced a 45% loss of their fluid volume and is experiencing hypovolemic shock. The patient has hemodynamic monitoring and fluid resuscitation is being attempted. Which finding indicates the patient is still in hypovolemic shock?* A. Low central venous pressure B. High pulmonary artery wedge pressure C. Elevated mean arterial pressure D. Low systemic vascular resistanceA. Low central venous pressureA patient is 1 hour post-op from abdominal surgery and had lost 20% of their blood volume during surgery. The patient is experiencing signs and symptoms of hypovolemic shock. What position is best for this patient?* A. Modified Trendelenburg B. Trendelenburg C. High Fowler's D. SupineA. Modified TrendelenburgA 35-year-old male arrives to the emergency room with multiple long bone fractures and an internal abdominal injury. The patient is anxious. Patient's vital signs are: Blood pressure 70/54, heart rate 125 bpm, respirations 30, oxygen saturation on 2 L nasal cannula 96%, temperature 99.3 'F, pain 6 on 1-10 scale. During assessment it is noted the skin is cool and clammy. The nurse will make it priority to?* A. Collect a urine sample B. Obtain an EKG C. Establish 2 large-bore IV access sites D. Place a warming blanket on the patientC. Establish 2 large-bore IV access sitesA patient in hypovolemic shock is receiving rapid infusions of crystalloid fluids. Which patient finding requires immediate nursing action?* A. Patient heart rate is 115 bpm B. Patient experiences dyspnea and crackles in lung fields C. Patient is anxious D. Patient's urinary output is 35 mL/hrB. Patient experiences dyspnea and crackles in lung fieldsA patient has lost 750 mL of blood volume. The MD orders Normal Saline infusion. Using the 3:1 rule, how much crystalloid solution should be prescribed by the doctor?* A. 2,250 mL of Normal Saline B. 250 mL of Normal Saline C. 375 mL of Normal Saline C. 1,225 mL of Normal SalineA. 2,250 mL of Normal SalineYou're providing an in-service to new nurse graduates on the fluid treatment for hypovolemic shock. You ask the participants to list the types of crystalloid solutions used in hypovolemic shock. Which responses are INCORRECT? Select all that apply:* A. Albumin B. Lactated Ringer's C. Normal Saline D. HetastarchA. Albumin D. HetastarchSelect all the fluid types below that are considered colloids?* A. Fresh Frozen Plasma B. Albumin C. Normal Saline D. Lactated Ringer's E. Hetastarch F. PlateletsB. Albumin E. HetastarchWhich statement is true about colloid solutions? Select all that apply:* A. These solutions are made up of large molecules that cannot diffuse through the capillary wall, so more fluid stays in the intravascular space longer when compared with the action of a crystalloid solution. B. These solutions can diffuse through the capillary wall so less fluid stays in the intravascular system when compared to the action of a crystalloid solution. C. The nurse should monitor for an anaphylactic reaction when these products are administered. D. These fluids are considered hypertonic solutions.A. These solutions are made up of large molecules that cannot diffuse through the capillary wall, so more fluid stays in the intravascular space longer when compared with the action of a crystalloid solution. C. The nurse should monitor for an anaphylactic reaction when these products are administered.A patient is receiving large amounts of fluids for aggressive treatment of hypovolemic shock. The nurse makes it PRIORITY to?* A. Rapidly infuse the fluids B. Warm the fluids C. Change tubing in between bags D. Keep the patient supineB. Warm the fluidsThe patient with hypovolemic shock is in need of clotting factors. Which type of fluid would best benefit this patient?* A. Platelets B. Albumin C. Fresh Frozen Plasma D. Packed Red Blood CellsC. Fresh Frozen PlasmaYou're working on a neuro unit. Which of your patients below are at risk for developing neurogenic shock? Select all that apply:* A. A 36-year-old with a spinal cord injury at L4. B. A 42-year-old who has spinal anesthesia. C. A 25-year-old with a spinal cord injury above T6. D. A 55-year-old patient who is reporting seeing green halos while taking Digoxin.B. A 42-year-old who has spinal anesthesia. C. A 25-year-old with a spinal cord injury above T6.True or False: The parasympathetic nervous system loses the ability to stimulate nerve impulses in patients who are experiencing neurogenic shock. This leads to hemodynamic changes.* A. True B. FalseB. FalseA 42-year-old male patient is admitted with a spinal cord injury. The patient is experiencing severe hypotension and bradycardia. The patient is diagnosed with neurogenic shock. Why is hypotension occurring in this patient with neurogenic shock?* A. The patient has an increased systemic vascular resistance. This increases preload and decreases afterload, which will cause severe hypotension. B. The patient's autonomic nervous system has lost the ability to regulate the diameter of the blood vessels and vasodilation is occurring. C. The patient's parasympathetic nervous system is being unopposed by the sympathetic nervous system, which leads to severe hypotension. D. The increase in capillary permeability has depleted the fluid volume in the intravascular system, which has led to severe hypotension.B. The patient's autonomic nervous system has lost the ability to regulate the diameter of the blood vessels and vasodilation is occurring.You receive a patient in the ER who has sustained a cervical spinal cord injury. You know this patient is at risk for neurogenic shock. What hallmark signs and symptoms, if experienced by this patient, would indicate the patient is experiencing neurogenic shock? Select all that apply:* A. Blood pressure 69/38 B. Heart rate 170 bpm C. Blood pressure 250/120 D. Heart rate 29 E. Warm and dry extremities F. Cool and clammy extremities G. Temperature 104.9 'F H. Temperature 95 'FA. Blood pressure 69/38 D. Heart rate 29 E. Warm and dry extremities H. Temperature 95 'FIn neurogenic shock, a patient will experience a decrease in tissue perfusion. This deprives the cells of oxygen that make up the tissues and organs. Select all the mechanisms, in regards to pathophysiology, of why this is occurring:* A. Loss of vasomotor tone B. Increase systemic vascular resistance C. Decrease in cardiac preload D. Increase in cardiac afterload E. Decrease in venous blood return to the heart F. Venous blood pooling in the extremitiesA. Loss of vasomotor tone C. Decrease in cardiac preload E. Decrease in venous blood return to the heart F. Venous blood pooling in the extremitiesYou're providing care to a patient experiencing neurogenic shock due to an injury at T4. As the nurse, you know which of the following is a patient safety priority?* A. Keeping the head of the bed greater than 45 degrees at all times. B. Repositioning the patient every thirty minutes. C. Keeping the patient's spine immobilized. D. Avoiding log-rolling the patient during transport.C. Keeping the patient's spine immobilized.A patient in neurogenic shock is ordered intravenous fluids due to severe hypotension. During administration of the fluids the nurse will monitor the patient closely and immediately report?* A. Increase in blood pressure B. High central venous pressure (CVP) and pulmonary artery wedge pressure (PAWP) C. Urinary output of 300 mL in the past 5 hours D. Mean arterial pressure (MAP) 85 mmHgB. High central venous pressure (CVP) and pulmonary artery wedge pressure (PAWP)A patient with neurogenic shock is experiencing a heart rate of 30 bpm. What medication does the nurse anticipate will be ordered by the physician STAT?* A. Adenosine B. Warfarin C. Atropine D. NorepinephrineC. AtropineYour patient in neurogenic shock is not responding to IV fluids. The patient is started on vasopressors. What option below, if found in your patient, would indicate the medication is working?* A. Decreased CVP (central venous pressure) B. Mean arterial pressure (MAP) 90 mmHg C. Serum lactate 6 mmol/L D. Blood pH 7.20B. Mean arterial pressure (MAP) 90 mmHgYou're developing a nursing plan of care for a patient with neurogenic shock. As the nurse, you know that due to venous blood pooling from vasodilation a deep vein thrombosis can occur in this type of shock. A patient goal is that the patient will be free from the development of a deep vein thrombosis. Select all the nursing interventions below that can help the patient meet this goal:* A. Perform range of motion exercises daily. B. Place a pillow underneath the patient knees as needed. C. Administer anticoagulants as scheduled per physician's order. D. Apply compression stockings daily.A. Perform range of motion exercises daily. C. Administer anticoagulants as scheduled per physician's order. D. Apply compression stockings daily.Your patient is having a sudden and severe anaphylactic reaction to a medication. You immediately stop the medication and call a rapid response. The patient's blood pressure is 80/52, heart rate 120, and oxygen saturation 87%. Audible wheezing is noted along with facial redness and swelling. As the nurse you know that the first initial treatment for this patient's condition is?* A. IV Diphenhydramine B. IV Normal Saline Bolus C. IM Epinephrine D. Nebulized AlbuterolC. IM EpinephrineA 25-year-old female is admitted to the ER in anaphylactic shock due to a bee sting. According to the patient's mother, the patient is severely allergic to bees and was recently stung by one. This type of anaphylactic reaction is known as a?* A. Type I Hypersensivity Reaction B. Type II Hypersensivity Reaction C. Type III Hypersensivity Reaction D. Type IV Hypersensivity ReactionA. Type I Hypersensivity ReactionAnaphylactic shock can occur due to either an immunological or non-immunological cause. Select ALL the CORRECT statements about the differences between an immunological reaction (anaphylactic) and non-immunological reaction (anaphylactoid):* A. "In an immunological reaction (anaphylactic) IgE antibodies are created and they attach to mast cells and basophils." B. "An immunological reaction (anaphylactic) requires a patient to be sensitized for anaphylactic shock to occur." C. "A non-immunological reaction (anaphylactoid) causes the same reaction as an anaphylactic reaction, but it's not due to immunoglobulin IgE antibodies." D. "Some common substances that cause a non-immunological reaction (anaphylactoid) are IV contrast dyes and NSAIDS." E. "A patient does not have to be sensitized for a non-immunological reaction (anaphylactoid) to occur and it can happen with first time exposure."A. "In an immunological reaction (anaphylactic) IgE antibodies are created and they attach to mast cells and basophils." B. "An immunological reaction (anaphylactic) requires a patient to be sensitized for anaphylactic shock to occur." C. "A non-immunological reaction (anaphylactoid) causes the same reaction as an anaphylactic reaction, but it's not due to immunoglobulin IgE antibodies." D. "Some common substances that cause a non-immunological reaction (anaphylactoid) are IV contrast dyes and NSAIDS." E. "A patient does not have to be sensitized for a non-immunological reaction (anaphylactoid) to occur and it can happen with first time exposure."During anaphylactic shock the mast cells and basophils release large amounts of histamine. What effects does histamine have on the body during anaphylactic shock? Select all that apply:* A. Decreases capillary permeability B. Vasodilation of vessels C. Decreases heart rate D. Shifts intravascular fluid to interstitial space E. Constricts the airways F. Stimulates contraction of GI smooth muscles G. Inhibits the production of gastric secretions H. ItchingB. Vasodilation of vessels D. Shifts intravascular fluid to interstitial space E. Constricts the airways F. Stimulates contraction of GI smooth muscles H. ItchingYou're providing education to a patient, who has a severe peanut allergy, on how to recognize the signs and symptoms of anaphylactic shock. Select all the signs and symptoms associated with anaphylactic shock:* A. Hyperglycemia B. Difficulty speaking C. Feeling dizzy D. Hypertension E. Dyspnea F. Itchy G. Vomiting and Nausea H. Fever I. Slow heart rateB. Difficulty speaking C. Feeling dizzy E. Dyspnea F. Itchy G. Vomiting and NauseaYour patient is started on an IV antibiotic to treat a severe infection. During infusion, the patient uses the call light to notify you that she feels a tight sensation in her throat and it's making it hard to breathe. You immediately arrive to the room and assess the patient. While auscultating the lungs you note wheezing. You also notice that the patient is starting to scratch the face and arms, and on closer inspection of the face you note redness and swelling that extends down to the neck and torso. The patient's vital signs are the following: blood pressure 89/62, heart rate 118 bpm, and oxygen saturation 88% on room air. You suspect anaphylactic shock. Select all the appropriate interventions for this patient:* A. Slow down the antibiotic infusion B. Call a rapid response C. Place the patient on oxygen D. Prepare for the administration of EpinephrineB. Call a rapid response C. Place the patient on oxygen D. Prepare for the administration of EpinephrineA patient is in anaphylactic shock. The patient has a severe allergy to peanuts and mistakenly consumed an eggroll containing peanut ingredients during his lunch break. The patient is given Epinephrine intramuscularly. As the nurse, you know this medication will have what effect on the body?* A. It will prevent a recurrent attack. B. It will cause vasoconstriction and decrease the blood pressure. C. It will help dilate the airways. D. It will help block the effects of histamine in the body.C. It will help dilate the airways.You're providing care to a patient in anaphylactic shock. What is NOT a typical medical treatment for this condition, and if ordered the nurse should ask for an order clarification?* A. IV Diphenhydramine B. Epinephrine C. Corticosteroids D. Isotonic intravenous fluids E. IV FurosemideE. IV FurosemideYou're assessing a patient's knowledge on how to use their EpiPen in case of an anaphylactic reaction. You're using an EpiPen trainer device to teach the patient. What demonstrated by the patient shows the patient knows how to administer the medication? Select all that apply:* A. The patient injects the medication in the subq tissue of the abdomen. B. The patient massages the site after injection. C. The patient administers the injection through the clothes. D. The patient aspirates before injecting the medication.B. The patient massages the site after injection. C. The patient administers the injection through the clothes.What is the MOST important step a nurse can take to prevent anaphylactic shock in a patient?* A. Assessing, documenting, and avoiding all the patient allergies B. Administering Epinephrine C. Administering Corticosteroids D. Establishing IV accessA. Assessing, documenting, and avoiding all the patient allergiesA patient is having an anaphylactic reaction to an IV medication. What is the FIRST action the nurse should take?* A. Administer Epinephrine B. Call a Rapid Response C. Stop the medication D. Administer a breathing treatmentC. Stop the medicationWhat is the BEST position for a patient in anaphylactic shock?* A. Lateral recumbent B. Supine with legs elevated C. High Fowler's D. Semi-Fowler'sB. Supine with legs elevated