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

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.

A. Theophylline B. Montelukast C. Albuterol D. Salmeterol

Correct Answer is C

Explanation

A) Theophylline:
Theophylline is a bronchodilator medication that is used for the long-term management of asthma and chronic obstructive pulmonary disease (COPD). It has a slower onset of action compared to short-acting beta-agonists like albuterol and is not typically used as the initial treatment for acute asthma exacerbations.

B) Montelukast:
Montelukast is a leukotriene receptor antagonist used for the long-term control and prevention of asthma symptoms, but it is not typically used as the initial treatment for acute asthma exacerbations. Its onset of action is slower compared to short-acting beta-agonists like albuterol.

C) Albuterol.
Albuterol is a short-acting beta agonist bronchodilator commonly used as a first-line treatment for acute asthma exacerbations. It works by quickly relaxing the smooth muscles of the airways, leading to rapid bronchodilation and improvement of airflow. This can help alleviate the patient's symptoms of shortness of breath and wheezing.

D) Salmeterol:
Salmeterol is a long-acting beta-agonist bronchodilator used for the maintenance treatment of asthma and COPD, but it is not typically used as the initial treatment for acute asthma exacerbations. Its onset of action is slower compared to short-acting beta-agonists like albuterol, and it is not recommended for rapid relief of acute symptoms.

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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 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

Correct Answer is C

Explanation

After administering an inotropic medication to a patient in shock, the nurse monitors the patient for signs of:

. ........................are the most effective drugs for controlling severe diarrhea.

A client has been diagnosed with pancreatic insufficiency. Which treatment option does the nurse anticipate for this client?

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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?

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