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Practice Question

A nurse is assisting in explaining the pathophysiology of systemic inflammatory response syndrome (SIRS) to a group of newly licensed nurses. Which of the following statements by the nurse is accurate?

Answer Choices:

Correct Answer:

“A deregulated cytokine storm causes an inflammatory response."

Rationale:

♦️SIRS arises from a dysregulated host response in which pro-inflammatory cytokines (e.g., TNF-α, IL-1, IL-6) surge and amplify systemic inflammation.

♦️This cytokine storm injures the endothelium, increases capillary permeability, and triggers vasodilation, leading to maldistribution of blood flow.

♦️The result is tissue hypoperfusion and a cascade that may evolve to multiple organ dysfunction.

♦️Coagulation pathways are also activated, promoting microthrombi and worsening organ ischemia.

♦️Recognizing the cytokine-driven pathophysiology explains why early source control, hemodynamic support, and anti-inflammatory/antimicrobial strategies are central to care.

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This question is from Custom Adult Hlth I Cardiovascular Test 2 which contains 59 questions.

More Questions from This Exam
A nurse is teaching a group of clients about risk factors for developing pericarditis. Which of the following should the nurse include in the teaching?

Answer Choices:

A. Recent flu-like illness.
B. Sedentary lifestyle.
C. Family history of pericarditis.
D. Thyroid disease.
A nurse is collecting data for a client who is experiencing peripheral venous disease.

Answer Choices:

A. Ambulate in halls four times a day.
B. Wear compression stockings.
C. Perform calf pump exercises with 20 repetitions, four times a day.
D. Wear intermittent pneumatic compression pumps while in bed.
E. Sit in chair for 3 to 4 hours daily with legs dependent.
F. Elevate legs four times per day for 30 minutes.
A nurse is reinforcing education to a client who has mitral valve stenosis that has not responded to pharmacological therapies. Which of the following statements should the nurse include in their teaching about other treatment options?

Answer Choices:

A. "A heparin bolus is administered and followed with a continuous infusion to help keep the blood thinner."
B. "A small catheter with a balloon on the end is threaded into a vessel in the groin and advanced to the heart where the balloon will be inflated, and the narrowed valve will be dilated. "
C. "Pentoxifylline can be administered to help the platelets from sacking together and occluding the vessels."
D. "A flexible catheter will be inserted into a vessel of the arm, neck. or groin and advanced to the heart to dilate a narrowed or occluded artery.”
From Exam
Custom Adult Hlth I Cardiovascular Test 2

59 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exams
  • Domain: Adult Health
  • Answer Choices: 4
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