Which of these would the nurse implement as the priority action for the patient with newly diagnosed septic shock?

Provide ordered enteral nutrition.

Monitor ordered IV fluids.

Obtain blood cultures before antibiotics.

Give broad-spectrum antibiotics within one hour of septic shock diagnosis.

Answer and Explanation

The Correct Answer is D

Choice A reason: While nutrition is important, it is not the immediate priority in the management of septic shock.

Choice B reason: Monitoring IV fluids is important, but the initial priority is to treat the infection causing the septic shock.

Choice C reason: Obtaining blood cultures is important, but it should not delay the administration of antibiotics.

Choice D reason: The administration of broad-spectrum antibiotics within one hour of diagnosing septic shock is critical to improve outcomes and is considered a priority action.

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Correct Answer is A

Explanation

Choice A reason: For a client with borderline personality disorder, the priority is to ensure safety, which includes protecting them from self-harm behavior, as they may have impulsive tendencies that can lead to self-injury.

Choice B reason: While providing strategies for redirecting violent behavior is important, it is secondary to ensuring the client's immediate safety.

Choice C reason: Exploring reasons for behavior is a therapeutic intervention that can help in the long term but is not the immediate priority.

Choice D reason: Encouraging the client to talk about their feelings is part of ongoing therapy but does not take precedence over ensuring the client's safety.

A. The stockings prevent venous stasis. B. The stockings replace the need for postoperative leg exercises. C. The stockings prevent varicose veins. D. The stockings are used to reduce pain.

Correct Answer is A

Explanation

Choice A reason: Antiembolism stockings are designed to apply pressure to the lower legs, promoting blood circulation and preventing blood from pooling in the veins, which can lead to venous stasis.

Choice B reason: While antiembolism stockings aid in circulation, they do not replace the need for postoperative leg exercises, which are important for recovery.

Choice C reason: These stockings are not specifically used to prevent varicose veins; their primary purpose is to prevent deep vein thrombosis (DVT) in postoperative patients.

Choice D reason: The stockings are not primarily used for pain reduction; their main function is to improve venous return and prevent DVT.

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Which of these would the nurse implement as the priority action for the patient with newly diagnosed septic shock?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the plan of care for a client who is newly diagnosed with borderline personality disorder. Which of the following interventions is the nurse's priority?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client following surgery who has antiembolism stockings in place. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

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