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
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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Related Questions
Correct Answer is D
Explanation
A. Hemoglobin is important for evaluating oxygen-carrying capacity but is not directly related to digoxin safety.
B. Blood urea nitrogen (BUN) is useful in assessing renal function but is not the priority for digoxin administration.
C. Creatinine is also important for renal function assessment, especially since digoxin is renally excreted, but it is still secondary to potassium.
D. Potassium is the priority lab value to review before giving digoxin, because hypokalemia increases the risk of digoxin toxicity, which can lead to serious arrhythmias. Monitoring and correcting potassium levels is essential for client safety.
Correct Answer is C
Explanation
A. Anaphylactic shock is a life-threatening allergic reaction, but it is less common and less frequently the cause of ICU deaths compared to septic shock.
B. Neurogenic shock results from spinal cord injuries or central nervous system damage and is relatively rare.
C. Septic shock is the most common cause of death in intensive care units in the United States. It results from overwhelming infection and leads to systemic inflammation, vasodilation, and multi-organ dysfunction.
D. Cardiogenic shock occurs due to the heart’s inability to pump effectively, often after a major myocardial infarction, but it is not the leading cause of death in ICUs.
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