A critical care nurse is aware of similarities and differences between the treatments for different types of shock. What intervention is used in all types of shock?

Early provision of nutritional support

Aggressive antibiotic therapy

Aggressive hypoglycemic control

Administration of hypertonic IV fluids

Answer and Explanation

The Correct Answer is A

A. Early provision of nutritional support: Providing nutrition early is essential in all types of shock to meet increased metabolic demands and prevent catabolism. Shock increases cellular energy requirements, and adequate nutrition supports organ function and recovery. Early enteral or parenteral nutrition helps maintain gut integrity and immune function.

B. Aggressive antibiotic therapy: Antibiotics are critical only in septic shock or infections causing shock. They are not indicated in hypovolemic, cardiogenic, or anaphylactic shock unless infection is present. Routine use in all shock types would be inappropriate and unnecessary.

C. Aggressive hypoglycemic control: Tight glucose control is relevant mainly in septic or critically ill patients at risk of hyperglycemia, not universally in all shock states. Overly aggressive glucose lowering can cause hypoglycemia and worsen outcomes. It is not a standard intervention across all shock types.

D. Administration of hypertonic IV fluids: Hypertonic fluids are not universally indicated in all shock types. Fluid resuscitation depends on the specific etiology—hypovolemic shock may require isotonic crystalloids, while cardiogenic shock may need careful fluid restriction.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Hyperphosphatemia, a change in the LOC, and dysrhythmias: Hyperphosphatemia is more a chronic issue in kidney disease, not an acute dialysis complication. While LOC changes and dysrhythmias can occur, the combination is incomplete for typical dialysis complications.

B. Dysrhythmias, hypertension, and a change in the LOC: Hypertension is less common during dialysis; hypotension is more frequently observed due to fluid removal. This combination does not reflect the most common acute complications.

C. Hypertension, muscle cramping, and nausea: Muscle cramping and nausea are relevant, but hypertension is not typical during dialysis. Hypotension, not elevated blood pressure, is a more frequent acute complication.

D. Muscle cramping, dysrhythmias, and hypotension: These are the most common complications during dialysis. Hypotension results from rapid fluid removal, muscle cramping occurs due to fluid and electrolyte shifts, and dysrhythmias can arise from electrolyte imbalances, particularly potassium changes. Monitoring for these ensures client safety.

A. Dress lightly during the day and stay in an air conditioned environment B. Drink at least 3000 mL of cold liquids daily in hot weather C. Dress lightly during the heat of the day and stay on the screened parch D. Sit outside for a limited time (one hour) in the morning only

Correct Answer is A

Explanation

A. Dress lightly during the day and stay in an air conditioned environment: Clients with T4 spinal cord injuries have impaired thermoregulation and are at high risk for heat-related illness. Light clothing and air conditioning help prevent hyperthermia and heat stroke. Staying in a cool environment is the safest strategy during extreme heat.

B. Drink at least 3000 mL of cold liquids daily in hot weather: While hydration is important, drinking excessive cold liquids does not fully prevent heat-related complications in clients with impaired thermoregulation. Cooling the environment is more effective in controlling core temperature.

C. Dress lightly during the heat of the day and stay on the screened porch: Even with light clothing, exposure to outdoor heat, such as on a porch, can lead to dangerous hyperthermia in someone with a high spinal cord injury. Indoor cooling is safer.

D. Sit outside for a limited time (one hour) in the morning only: Morning temperatures may still be high, and direct sun exposure poses a risk for hyperthermia. Limiting outdoor activity alone does not adequately protect thermoregulation. Air conditioning and minimal heat exposure are preferred.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A critical care nurse is aware of similarities and differences between the treatments for different types of shock. What intervention is used in all types of shock?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following are complications the nurse should monitor for during dialysis?

Correct Answer is D

Explanation

Your client is at home in northern Texas during the month of August. The average daytime temperature is 103 degrees F. What advice should you give your client with a T4 spinal cord injury in this situation?

Correct Answer is A

Explanation

The nurse is assessing the client with a circumferential burn to the left upper extremity. The nurse anticipates the performance of an escharotomy with which of the following assessment findings?

The nurse notes that a client with a head injury and periorbital ecchymosis has clear nasal drainage. Which nursing action is most appropriate upon this finding?

Organ failure associated with multiple organ dysfunction syndrome (MODS) usually begins in which organ?

The emergency nurse is admitting a client diagnosed with Gl bleeding who is believed to be in the compensatory stage of shock. What assessment finding would be most consistent with the early stage of compensation?

A client with severe heart failure develops elevated blood urea nitrogen (BUN) and creatinine levels. The nurse will plan care to meet the goal of

The nurse assesses a 72 kg client six hours after a thermal burn covering 50% of the client's total body surface area. Of the findings listed below, which is the most important to communicate to the health care provider?

A client with chronic kidney disease is completing an exchange during peritoneal dialysis. The nurse observes that the peritoneal fluid is draining slowly and that the client's abdomen is increasing in girth. What is the nurse's most appropriate action?

The physician prescribes intravenous mannitol for a client with a head injury. The nurse monitors the client for which expected therapeutic outcome of this drug?