54) A nurse is educating a new nurse on the different types of shock. The new nurse isasked to identify which client is not experiencing distributive shock?(a) A client with septic-induced hypotension refractory to adequate fluid resuscitation(b) A client with extensive spinal cord injury at T4 and a heart rate of 40 beats per minute(c) A client with an extreme type of allergic reaction to penicillin and stridor(d) A client with a tension pneumothorax and cardiovascular compression.
Question
- A nurse is educating a new nurse on the different types of shock. The new nurse isasked to identify which client is not experiencing distributive shock?(a) A client with septic-induced hypotension refractory to adequate fluid resuscitation(b) A client with extensive spinal cord injury at T4 and a heart rate of 40 beats per minute(c) A client with an extreme type of allergic reaction to penicillin and stridor(d) A client with a tension pneumothorax and cardiovascular compression.
Solution
The client who is not experiencing distributive shock is (d) A client with a tension pneumothorax and cardiovascular compression.
Distributive shock is a type of shock that results from inadequate distribution of blood flow in the smallest blood vessels of the body. The three types of distributive shock are septic shock (a), neurogenic shock (b), and anaphylactic shock (c).
Tension pneumothorax (d), however, is a type of obstructive shock, not distributive shock. It occurs when air enters the pleural space and cannot escape, causing a buildup of pressure that compresses the heart and great vessels, impeding venous return to the heart.
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