The emergency department nurse receives a call about an incoming client with hypovolemic shock. The nurse understands that which conditions can result in hypovolemic shock? Select all that apply.

Question

A) Diuresis
B) Severe burns
C) Congestive heart failure
D) Blood loss
E) Constipation

Answer 1

A) Diuresis
B) Severe burns
D) Blood loss


Explanation: A) Hypovolemic shock occurs when there is rapid or excessive loss of significant amount of whole blood as in trauma, internal bleeding from a ruptured ectopic pregnancy or gastrointestinal lesions, or loss of other body fluids (from diarrhea, vomiting, diaphoresis, severe burns, or diuresis as occurs in diabetes mellitus and diabetes insipidus), edema, or severe dehydration.
B) Hypovolemic shock occurs when there is rapid or excessive loss of significant amount of whole blood as in trauma, internal bleeding from a ruptured ectopic pregnancy or gastrointestinal lesions, or loss of other body fluids (from diarrhea, vomiting, diaphoresis, severe burns, or diuresis as occurs in diabetes mellitus and diabetes insipidus), edema, or severe dehydration.
C) Congestive heart failure and constipation do not typically result in a rapid or excessive loss of body fluids, and therefore are not directly related to hypovolemic shock.
D) Hypovolemic shock occurs when there is rapid or excessive loss of significant amount of whole blood as in trauma, internal bleeding from a ruptured ectopic pregnancy or gastrointestinal lesions, or loss of other body fluids (from diarrhea, vomiting, diaphoresis, severe burns, or diuresis as occurs in diabetes mellitus and diabetes insipidus), edema, or severe dehydration.
E) Congestive heart failure and constipation do not typically result in a rapid or excessive loss of body fluids, and therefore are not directly related to hypovolemic shock.