Septic shock treatment is aimed at:
Identifying specific pathogens
Improving tissue perfusion through intravenous fluid/blood replacement
Administering antibiotics
Treating the source of infection and supporting circulation
The Correct Answer is D
A. Identifying specific pathogens is important for guiding treatment, but the immediate focus in septic shock is on supporting circulation and treating the source of infection rather than just identification.
B. Improving tissue perfusion through intravenous fluid and blood replacement is part of the treatment but is not the sole focus. It is a supportive measure, and it is done alongside treating the source of infection.
C. Administering antibiotics is critical in septic shock but is only part of the treatment. It should be done alongside efforts to support circulation and treat the source of infection.
D. Treating the source of infection and supporting circulation are the primary goals in managing septic shock. This includes administering fluids, antibiotics, and sometimes vasopressors, in addition to addressing the underlying infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hyperglycemic hyperosmolar-nonketotic syndrome (HHNS) is more commonly associated with type 2 diabetes. It is characterized by very high blood sugar levels and dehydration, but without significant ketone production. It typically occurs in older adults with type 2 diabetes who experience severe dehydration and illness.
B. Hypoglycemia is more commonly associated with type 1 diabetes due to the frequent need for insulin therapy, which can cause low blood sugar levels. In type 2 diabetes, hypoglycemia is less common unless the patient is on insulin or certain oral medications.
C. Diabetic ketoacidosis (DKA) is primarily a complication of type 1 diabetes. It occurs when there is a severe insulin deficiency, leading to the breakdown of fat for energy and the production of ketones. While DKA can occur in type 2 diabetes, it is far more common in type 1.
D. The Somogyi effect refers to rebound hyperglycemia following an episode of hypoglycemia, typically occurring overnight. It is more commonly seen in type 1 diabetes, especially when insulin doses are too high, causing low blood sugar at night followed by a rebound increase in blood sugar.
Correct Answer is D
Explanation
A. Oxygen does play a role in maintaining acid-base balance indirectly, as it is required for aerobic metabolism, which produces carbon dioxide that is regulated by the body to maintain acid-base balance. However, this is not its primary role.
B. Oxygen does trigger chemoreceptors, but this is more of a secondary function to regulate breathing based on oxygen and carbon dioxide levels.
C. While oxygen has many roles, its most critical function is providing the necessary support for cellular metabolism, which is vital for energy production in cells.
D. Oxygen is essential for cellular metabolism as it is required for the process of oxidative phosphorylation in mitochondria, which produces ATP, the energy currency of cells.
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