A school-age client with a history of multiple allergies is ...

[CharlieWard]

A school-age client with a history of multiple allergies is prescribed epinephrine (EpiPen) for prevention of anaphylactic shock.
 
  The client's mother says to the nurse, I thought shock was about heart failure. Which response by the nurse is the most appropriate?
  A) Allergic response is the most fatal type of shock; other types involve loss of blood, heart failure, and liver failure.
  B) Heart failure is the most serious kind of shock; others include infection, kidney failure, and loss of blood.
  C) There are many kinds of shock that also include infection, nervous system damage, and loss of blood.
  D) There are many kinds of shock: heart failure, nervous system damage, loss of blood, and respiratory failure.

Question 2

The nurse is concerned that a client is demonstrating early signs of hypovolemic shock. Which assessment findings support the nurse's concern?
 
  Select all that apply.
  A) Slight increase in pulse
  B) Prolonged capillary refill time
  C) Rapid weak pulse
  D) Normal respirations
  E) Normal blood pressure

[31809pancho]

Answer to Question 1

Answer: C

Obvious bleeding suggests hypovolemic shock; trauma to the brain or spinal cord suggests neurogenic shock; inadequate cardiac output suggests cardiogenic shock; a recent infection may indicate septic shock; and a history of allergies with a sudden onset of symptoms may suggest anaphylactic shock. Kidney failure is not a type of shock. Respiratory failure is not a type of shock. Liver failure is not a type of shock.

Answer to Question 2

Answer: A, B, D, E

Manifestations of early hypovolemic shock include a slight increase in pulse, normal respirations, prolonged capillary refill time, and normal blood pressure. A weak rapid pulse is a characteristic of the irreversible stage of hypovolemic shock.

[CharlieWard]

Excellent

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TYSM