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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. An echocardiogram is the most helpful noninvasive tool for diagnosing cardiomyopathy. It provides detailed information about chamber size, wall motion, ventricular function, and left ventricular hypertrophy, all of which are essential in evaluating cardiomyopathy.
B. Arterial blood gases (ABGs) assess oxygenation and acid-base balance but do not provide structural or functional cardiac details.
C. Swan-Ganz analysis (pulmonary artery catheter) can measure pressures in the heart but is invasive and typically used for hemodynamic monitoring, not initial diagnosis.
D. Cardiac catheterization can show coronary anatomy and pressures, but it is not the first-line test for evaluating cardiomyopathy unless ischemic disease is suspected.
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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