The critical care nurse is preparing to initiate an infusion of a vasopressor medication to a client in septic shock. What goal of this treatment should the nurse identify?

Absence of pulmonary and peripheral edema

Reduced stroke volume and cardiac output

Reduced systolic and diastolic blood pressure

Maintenance of adequate mean arterial pressure

Answer and Explanation

The Correct Answer is D

A. Absence of pulmonary and peripheral edema is not a primary goal of vasopressor therapy. The focus is on improving blood pressure and perfusion.
B. Vasopressor therapy aims to increase blood pressure, not reduce stroke volume or cardiac output.
C. Vasopressors are used to increase blood pressure, so reducing blood pressure is not an intended goal.
D. The primary goal of vasopressor therapy in septic shock is to maintain an adequate mean arterial pressure (MAP) to ensure adequate organ perfusion and prevent organ failure.

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Correct Answer is C

Explanation

A. Inserting a new indwelling urinary catheter could introduce new pathogens and increase the risk of infection rather than reduce it. Indwelling catheters are a known risk factor for urinary tract infections and should be avoided if possible.
B. Collecting blood cultures is an important diagnostic step, especially if sepsis is suspected. However, this action alone does not directly reduce the risk of septic shock. It is a part of the process but not the most immediate intervention.
C. Initiating intravenous (IV) antibiotics is the most critical intervention to reduce the risk of septic shock. Prompt administration of antibiotics can help control the infection before it progresses to sepsis, making this the priority action.
D. Obtaining placement of an intravenous access for fluid administration is necessary for managing sepsis or septic shock, but the first step should be administering antibiotics to treat the infection causing the sepsis. Fluid administration supports blood pressure and circulation but does not directly address the underlying infection.

A. "I should include foods high in protein, like fish and chicken." B. "I should avoid foods such as low-fat dairy products." C. "I should include foods high in carbohydrates, like pie and donuts." D. "I should avoid foods high in fat, like fried chicken."

Correct Answer is D

Explanation

A. Foods high in protein, like fish and chicken, are generally recommended in a low-fat diet but are not specific to managing biliary colic.
B. Low-fat dairy products are usually recommended as part of a low-fat diet and are not typically avoided for cholecystitis.
C. High-carbohydrate foods like pie and donuts are not advised for general health but are not specifically targeted for managing biliary colic.
D. Avoiding foods high in fat, such as fried chicken, is important for managing biliary colic and chronic cholecystitis. Fatty foods can stimulate gallbladder contractions and exacerbate symptoms.

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The critical care nurse is preparing to initiate an infusion of a vasopressor medication to a client in septic shock. What goal of this treatment should the nurse identify?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An immunocompromised older adult has developed a urinary tract infection, and the healthcare team recognizes the need to prevent an exacerbation of the client's infection that could result in sepsis and septic shock. What action should the nurse perform to reduce the client's risk of septic shock?

Correct Answer is C

Explanation

A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following responses from the client shows understanding of the teaching plan?

Correct Answer is D

Explanation

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