What is the nurse's priority when caring for a patient in septic shock?

Maintaining strict bed rest

Administering pain medication

Monitoring vital signs frequently

Assisting with daily hygiene

Answer and Explanation

The Correct Answer is C

A. Strict bed rest is not the priority; early mobility may be encouraged once the patient is stable.
B. Pain management is important but not the first priority in septic shock.
C. Monitoring vital signs frequently is the priority because it allows the nurse to detect changes in perfusion, blood pressure, heart rate, and oxygenation status, which are critical for timely intervention in septic shock.
D. Assisting with hygiene is part of routine care but is not a priority during the acute management of septic shock.

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Correct Answer is C

Explanation

A. Sinus bradycardia is characterized by a heart rate less than 60 beats/min, but in this case the rate is exactly 60, which is normal lower limit.
B. First degree heart block involves a prolonged PR interval (>0.20 seconds); here, the PR interval is normal (0.16 seconds).
C. Normal sinus rhythm has regular P waves and QRS complexes, a normal PR interval (0.12–0.20 seconds), and a heart rate between 60–100 beats/min.
D. Sick sinus syndrome is characterized by irregular rhythms and abnormal sinus node function, which is not indicated here.

A. Blood to flow back from the left atrium to the left ventricle B. Blood to flow back from the aorta to the left ventricle C. Obstruction of blood from the left atrium to the left ventricle D. Obstruction of blood flow from the left ventricle

Correct Answer is B

Explanation

A. Blood flowing back from the left atrium to the left ventricle describes mitral regurgitation, not aortic regurgitation.
B. Aortic regurgitation involves the backflow of blood from the aorta into the left ventricle during diastole due to an incompetent aortic valve. This leads to volume overload in the left ventricle.
C. Obstruction of blood from the left atrium to the left ventricle occurs in mitral stenosis, not aortic regurgitation.
D. Obstruction of blood flow from the left ventricle is characteristic of aortic stenosis, not aortic regurgitation.

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What is the nurse's priority when caring for a patient in septic shock?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing an ECG rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 second. The overall heart rate is 60 beats/min. The nurse assesses the cardiac rhythm as:

Correct Answer is C

Explanation

A client with aortic regurgitation is being transferred from the critical care unit to the step-down unit. The nurse receiving the patient in the step-down unit is aware that aortic regurgitation causes:

Correct Answer is B

Explanation

A client being admitted to the cardiac care unit complains of dyspnea on exertion and fatigue. His ECG demonstrates dysrhythmias associated with left ventricular hypertrophy. Which of the following diagnostic tools would be the most helpful in diagnosing cardiomyopathy?

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The nurse discussing potential risk factors of infective endocarditis with a hospitalized client would include which of the following as a potential risk factor of this disease process?

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