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: Clients with OCD often engage in compulsive behaviors, such as cleaning, to manage their anxiety levels. Recognizing this can help the nurse provide appropriate support and interventions.

Choice B reason: While the tasks may seem useful, the compulsive nature of the behavior is driven by anxiety rather than a focus on productivity.

Choice C reason: The behavior is not about limiting social interaction; it is a manifestation of the client's OCD.

Choice D reason: The behavior is not intended to manipulate or control others but is a symptom of the client's OCD.

A. To control pain B. To relieve foot swelling C. To strengthen leg muscles D. To restore joint function

Correct Answer is D

Explanation

Choice A reason: While controlling pain is a benefit, it is not the primary purpose of a CPM machine.

Choice B reason: Relieving foot swelling is not the main function of a CPM machine.

Choice C reason: Strengthening leg muscles is not the direct purpose of a CPM machine; it is designed to move the joint without the patient's muscles being used.

Choice D reason: The primary purpose of a CPM machine is to restore joint function by moving the joint through a prescribed range of motion, often after surgery, to prevent stiffness and increase circulation.

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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 caring for a client who has obsessive-compulsive disorder (OCD) and is constantly picking up after others and cleaning in the day room. The nurse should recognize the client's actions as which of the following?

Correct Answer is A

Explanation

The nurse is reinforcing teaching for a patient who is using a continuous passive motion (CPM) machine. Which of these, if stated by the patient, indicates to the nurse correct understanding of its purpose?

Correct Answer is D

Explanation

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