Sympathetic Nervous System

INTRO PATHOPHYSIOLOGY1. Which of the following is true for compensatory anti-inflammatory response syndrome (CARS)?May increase the risk for sepsisThis is a normal response to any infectionNormally occurs before SIRSTypically occurs with autoimmune disorders2. Which of the following patients does a nurse determine as most at risk for neurogenic shock?Person with spinal cord injury at T2Person with systemic E.coli infectionPerson stabbed in the legPerson with severe allergies3. A nurse comments that a patient is displaying an overwhelming immune response to trauma. Which acronym would apply to the nurse’s statement?APACHEMODSCARSSIRS. A patient presents with anaphylactic shock. Which of the following has likely occurred?Internal bleedingDisruption of the sympathetic nervous systemFailing heart rate and blood pressureMassive bronchoconstriction5. All of the following are criteria for SIRS EXCEPTLeukocytosisHypothermiaHypoventilationFeverElevated heart rate6. A nursing student is reviewing the “gut theory” in relation to the development of multiple organ dysfunction syndrome (MODS). What is the correct sequence for the following events?1. Gastrointestinal (GI) mucosal ischemia2. Increased permeability of GI wall3. Massive immune response to GI bacteria4. Decreased perfusion of GI tract5. GI bacteria enter bloodstream

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