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: Assessing the client's level of anxiety is crucial as it can inform the nurse about the severity of the OCD symptoms and guide further interventions.

Choice B reason: Interrupting compulsive behavior abruptly can cause significant distress to the client and is not recommended without proper behavioral therapy techniques.

Choice C reason: Negative reinforcement techniques are not typically used in OCD management as they can exacerbate anxiety and are not considered therapeutic.

Choice D reason: Encouraging avoidance of anxiety-increasing situations may reinforce OCD behaviors and is not a recommended approach. Exposure and response prevention, a type of cognitive-behavioral therapy, is often used instead.

A. Dehiscence B. Evisceration C. Gaping D. Distention

Correct Answer is A

Explanation

Choice A reason: Dehiscence refers to the separation of layers of a surgical wound, which may be partial or complete.

Choice B reason: Evisceration is a more severe complication where the wound opens and internal organs may protrude.

Choice C reason: Gaping refers to a wound that is open but does not necessarily indicate the layers have separated, as in dehiscence.

Choice D reason: Distention generally refers to swelling or enlargement of an organ or area, not specifically to the opening of a wound.

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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

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Correct Answer is A

Explanation

The sudden bursting open of the wound's edges is known as:

Correct Answer is A

Explanation

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