Module 9

An 85-year-old man complains of chest pain. He has a fast heart rate and a low blood pressure. His skin is pale, cool, and sweaty, and he feels anxious. This patient is showing signs and symptoms of:

• meningitis

• hyperglycemia

• shock

• bradycardia

What are the two ways that the heart can fail?

• Heart attack or stroke

• Sympathetic failure or parasympathetic failure

• Bradycardia or tachycardia

• Mechanical failure or electrical failure

Your patient is a 22-year-old man who has been stabbed in the chest. Which of the following is an immediate concern for this patient?

• Mechanical heart failure

• Parasympathetic reaction

• Cardiac output

• Electric heart failure

Within the four categories of shock, there are seven main types. Which would fall into the category of hypovolemic shock?

• Hemorrhagic

• Anaphylactic

• Psychogenic

• Septic

If a mechanism for injury causes suspicion for internal bleeding, it is important to begin treating the patient for:

• broken bones

• shock

• hypoglycemia

• dehydration

What is the FIRST thing you should do to help delay the progress of shock in a patient?

• Provide a blanket

• Calm and reassure the patient

• Administer oxygen

• Ensure a patent airway

You are called for a lethargic but oriented patient, complaining of weakness and dizziness. She is hypotensive, has a rapid, weak pulse, and states that she has been vomiting and had diarrhea for 5 days. What category of shock should you suspect?

• Distributive

• Respiratory

• Hypovolemic

• Cardiogenic

What sign or symptom of shock is most likely to occur before the others?

• Increased heart rate

• Cardiac arrest

• Pale and sweaty skin

• Restlessness

(a)   Regular delivery of oxygen and nutrients to the cell

(a)   Type of shock caused by a lack of total blood volume