In the plan of care, the most important intervention for a patient experiencing shock is assessing:

Respirations rate.

Heart rate.

Blood pressure.

Temperature.

Answer and Explanation

The Correct Answer is C

A) Respirations rate:
Respiratory rate is an important vital sign to monitor in patients with shock, as respiratory distress can indicate inadequate oxygenation. However, blood pressure is generally considered more critical to assess initially in the context of shock because it directly reflects tissue perfusion and oxygen delivery.

B) Heart rate:
Heart rate is an important vital sign to monitor in patients with shock, as tachycardia (rapid heart rate) may indicate the body's compensatory response to maintain cardiac output and tissue perfusion. However, blood pressure is generally considered more critical to assess initially in the context of shock because it directly reflects tissue perfusion and oxygen delivery.

C) Blood pressure.
In shock, the body's vital organs are not receiving adequate blood flow and oxygen, leading to a life-threatening condition. While all vital signs are important to monitor in a patient experiencing shock, blood pressure is typically considered the most critical because it reflects the perfusion pressure—the force driving blood through the circulatory system to deliver oxygen and nutrients to the body's tissues. A decrease in blood pressure can indicate inadequate tissue perfusion and impending organ failure. Therefore, timely assessment and monitoring of blood pressure are essential for identifying and managing shock effectively.

D) Temperature:
Temperature monitoring is important in assessing for signs of infection or other systemic issues that may contribute to shock, such as sepsis. However, blood pressure is generally considered more critical to assess initially in the context of shock because it directly reflects tissue perfusion and oxygen delivery.

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Correct Answer is ["B","C","D","E"]

Explanation

A. Wheezing: Wheezing is not a typical symptom of allergic rhinitis. It is more commonly associated with asthma or other lower respiratory conditions.

B. Sneezing: Sneezing is a common symptom of allergic rhinitis. It is often triggered by exposure to allergens such as pollen, dust mites, or pet dander.

C. Watery eyes: Watery eyes, also known as allergic conjunctivitis, frequently accompany allergic rhinitis. This symptom occurs due to inflammation of the conjunctiva in response to allergen exposure.

D. Nasal congestion: Nasal congestion, or a stuffy nose, is a hallmark symptom of allergic rhinitis. It occurs as a result of inflammation and swelling of the nasal mucosa in response to allergens.

E. Urticaria: Urticaria, commonly referred to as hives, may occur in some individuals with allergic rhinitis. However, it is more commonly associated with other types of allergic reactions, such as food allergies or drug allergies.

A. Take as needed for pain relief. B. Take the medication 1 hr before meals. C. Store the medication in the refrigerator. D. Take the medication with an antacid

Correct Answer is B

Explanation

A) Take as needed for pain relief.
Sucralfate is not used as an as-needed medication for pain relief. It is a gastroprotective medication that is typically taken regularly as prescribed, regardless of whether the client is experiencing pain.

B) Take the medication 1 hr before meals.
Sucralfate is a medication commonly used to treat peptic ulcer disease by forming a protective barrier over the ulcer, promoting healing and symptom relief. It should be taken on an empty stomach, at least 1 hour before meals, and at bedtime to maximize its effectiveness. Taking sucralfate before meals ensures that the medication can coat the ulcer and provide protection against gastric acid during digestion.

C) Store the medication in the refrigerator.
Sucralfate does not need to be stored in the refrigerator. It should be stored at room temperature away from moisture and heat, according to the manufacturer's instructions.

D) Take the medication with an antacid.
Sucralfate should not be taken with antacids because antacids can interfere with its effectiveness. Antacids can decrease the absorption of sucralfate, so it is important to separate the administration of sucralfate from antacids by at least 30 minutes to 1 hour.

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In the plan of care, the most important intervention for a patient experiencing shock is assessing:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been diagnosed with allergic rhinitis. Which symptoms would the nurse expect to observe? (Select All that Apply.)

Correct Answer is ["B","C","D","E"]

Explanation

A nurse is reinforcing teaching a client who has peptic ulcer disease and is starting therapy with sucralfate. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is preparing to administer amoxicillin 500 mg PO to a client. The amount available is amoxicillin suspension 250 mg/5 ml. How should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)

What is the earliest sign of shock that the nurse would monitor for during a routine assessment?

A client presents with shock in the hospital, and has a history of a recent infection. What does the nurse suspect that this client is experiencing?

Decongestants should be used with caution in patients with which diagnoses? (Select All that Apply.)

A nurse is assisting in the care of a client who is receiving a dopamine infusion at a low dose for treatment of shock. Which of the following findings is an expected effect of this medication?

What are the risk factors associated with peptic ulcer disease? (Select All that Apply.)

An ulcer caused by H. pylori can be successfully treated with which classification of drugs?

A nurse is reinforcing teaching with a client who has a new prescription for docusate sodium. The nurse should recognize which of the following statements indicates the client understands the teaching?