A 35-year-old patient arrives at the emergency department following a motor vehicle accident. The nurse notes a heart rate of 120 beats per minute, rapid and shallow breathing, cool and clammy skin, and a blood pressure of 80/50 mm Hg. The nurse suspects the patient is in which stage of shock?
Multiple Choice:
A. Initial
B. Compensatory
C. Progressive
D. Refractory
E. Recovery
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Rationale:
In the progressive stage of shock, compensatory mechanisms are no longer effective in maintaining perfusion. The patient exhibits signs such as increased heart rate, shallow breathing, cool and clammy skin, and hypotension. In this case, the symptoms of tachycardia, rapid breathing, and low blood pressure indicate the progressive stage, where organ perfusion is severely compromised.
A 50-year-old patient with a history of severe allergic reactions is brought to the emergency room after exposure to an allergen. The nurse observes widespread hives, difficulty breathing, and a blood pressure of 90/60 mm Hg. These symptoms are indicative of which stage of shock?
Multiple Choice:
A. Initial
B. Compensatory
C. Distributive
D. Obstructive
E. Recovery
Rationale:
Distributive shock involves widespread vasodilation, leading to impaired blood flow distribution. Symptoms such as hypotension, hives, and difficulty breathing are characteristic of anaphylactic shock, a type of distributive shock. The body’s response to the allergen causes a systemic release of histamine, leading to vasodilation and compromised blood pressure.
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Understanding the Stages of Shock: NCLEX Priority Questions
A 60-year-old patient with a history of myocardial infarction presents to the cardiac unit with chest pain and diaphoresis. The nurse notes a heart rate of 50 beats per minute, hypotension, and altered mental status. Which stage of shock is the patient likely experiencing?
Multiple Choice:
A. Initial
B. Compensatory
C. Progressive
D. Cardiogenic
E. Recovery
Rationale:
Cardiogenic shock is characterized by inadequate tissue perfusion due to severe heart dysfunction. Bradycardia, hypotension, and altered mental status are common signs. In this scenario, the patient’s history of myocardial infarction and the current presentation of bradycardia, hypotension, and altered mental status indicate cardiogenic shock, where the heart’s pumping ability is compromised.
Understanding Stages of Shock: Causes and Symptoms
A 45-year-old patient is admitted to the hospital with severe dehydration due to vomiting and diarrhea. The nurse notes increased heart rate, low blood pressure, and delayed capillary refill. Which stage of shock is the patient most likely in?
Multiple Choice:
A. Initial
B. Compensatory
C. Progressive
D. Distributive
E. Recovery
Rationale: In the compensatory stage of shock, the body activates mechanisms to maintain perfusion to vital organs. Increased heart rate, hypotension, and delayed capillary refill are signs of compensation to preserve blood flow. The sympathetic nervous system is activated, leading to vasoconstriction and increased heart rate to counteract the reduced circulating volume.
Understanding the Stages of Shock: NCLEX Delegation Questions
A 30-year-old patient with a deep vein thrombosis (DVT) develops sudden shortness of breath, chest pain, and hypotension. The nurse suspects the patient is experiencing which stage of shock?
Multiple Choice:
A. Initial
B. Compensatory
C. Progressive
D. Obstructive
E. Recovery
Rationale: Obstructive shock results from mechanical obstruction of blood flow. In this case, the patient with a DVT may be experiencing obstructive shock due to a pulmonary embolism. The sudden onset of symptoms such as shortness of breath, chest pain, and hypotension suggests an obstruction affecting blood flow to the lungs.
NCLEX Practice Questions: Understanding Stages of Shock Causes and Symptoms
A 55-year-old patient with a history of sepsis is admitted to the intensive care unit. The nurse observes warm, flushed skin, bounding pulses, and decreased peripheral vascular resistance. These symptoms are indicative of which stage of shock?
Multiple Choice:
A. Initial
B. Compensatory
C. Progressive
D. Distributive
E. Recovery
Rationale: Distributive shock involves widespread vasodilation and increased capillary permeability. The warm, flushed skin, bounding pulses, and decreased peripheral vascular resistance are characteristic of distributive shock, such as septic shock. In sepsis, the body’s response leads to vasodilation, causing a decrease in peripheral vascular resistance and increased blood flow to the tissues.
NCLEX Questions: Focus on Medications for Stages of Shock
A 65-year-old patient with a history of chronic heart failure is admitted to the hospital with worsening dyspnea, crackles in the lungs, and decreased urine output. The nurse notes elevated jugular venous pressure and peripheral edema. Which stage of shock is the patient likely experiencing?
Multiple Choice:
A. Initial
B. Compensatory
C. Progressive
D. Cardiogenic
E. Recovery
Rationale:
Cardiogenic shock occurs when the heart is unable to pump effectively, leading to inadequate tissue perfusion. In this case, the patient’s history of chronic heart failure and the signs of elevated jugular venous pressure, peripheral edema, and decreased urine output indicate impaired cardiac function and cardiogenic shock.
NCLEX Focus Exploring Stages of Shock: Causes and Diagnosis
A 40-year-old patient presents to the emergency department with a severe allergic reaction after being stung by a bee. The nurse observes generalized hives, wheezing, and a blood pressure of 80/60 mm Hg. Which stage of shock is the patient likely in?
Multiple Choice:
A. Initial
B. Compensatory
C. Distributive
D. Anaphylactic
E. Recovery
Rationale:
Anaphylactic shock is a type of distributive shock characterized by widespread vasodilation and increased capillary permeability due to an allergic reaction. The patient’s symptoms, including hives, wheezing, and hypotension, are indicative of anaphylactic shock triggered by the bee sting.
NCLEX Review: Stages of Shock Treatments
A 50-year-old patient is brought to the emergency room after a significant burn injury. The nurse notes tachycardia, hypotension, and decreased urine output. Which stage of shock is the patient likely in?
Multiple Choice:
A. Initial
B. Compensatory
C. Progressive
D. Hypovolemic
E. Recovery
Rationale:
Hypovolemic shock results from a significant loss of intravascular fluid, as seen in conditions like severe burns. The signs of tachycardia, hypotension, and decreased urine output are characteristic of hypovolemic shock, where the body attempts to compensate for the loss of fluid.
NCLEX Questions Critical Thinking: Stages of Shock Symptoms
A 25-year-old patient is involved in a traumatic car accident and arrives at the emergency department with multiple fractures and internal bleeding. The nurse observes pale skin, rapid breathing, and a blood pressure of 90/50 mm Hg. Which stage of shock is the patient likely in?
Multiple Choice:
A. Initial
B. Compensatory
C. Progressive
D. Septic
E. Recovery
Rationale:
In the progressive stage of shock, compensatory mechanisms become inadequate, leading to worsening tissue perfusion. The patient’s symptoms of pale skin, rapid breathing, and hypotension indicate a progression beyond the compensatory stage, suggesting that the shock is becoming more severe and compromising organ perfusion.
