Author Question: What type of shock is characterized by a hypersensitivity reaction causing massive vasodilation and ... (Read 41 times)

saraeharris · **on:** Jun 28, 2018

What type of shock is characterized by a hypersensitivity reaction causing massive vasodilation and capillary leaks, which may occur with drug or latex allergy?

a. Neurogenic shock
b. Cardiogenic shock
c. Hypovolemic shock
d. Anaphylactic shock

Question 2

A school-age child with acute diarrhea and mild dehydration is being given oral rehydration solutions (ORS). The child's mother calls the clinic nurse because he is also occasionally vomiting. The nurse should recommend which intervention?

a. Bring the child to the hospital for intravenous fluids.
b. Alternate giving ORS and carbonated drinks.
c. Continue to give ORS frequently in small amounts.
d. Keep child NPO (nothing by mouth) for 8 hours and resume ORS if vomiting has subsided.

amandanbreshears · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
Anaphylactic shock results from extreme allergy or hypersensitivity to a foreign substance. Neurogenic shock results from loss of neuronal control, such as the interruption of neuronal transmission after a spinal cord injury. Cardiogenic shock is decreased cardiac output. Hypovolemic shock is a reduction in the size of the vascular compartment, decreasing blood pressure, and low central venous pressure.

Answer to Question 2

ANS: C
Children who are vomiting should be given ORS at frequent intervals and in small amounts. Intravenous fluids are not indicated for mild dehydration. Carbonated beverages are high in carbohydrates and are not recommended for the treatment of diarrhea and vomiting. The child is not kept NPO because this would cause additional fluid losses.