In critically ill patients, the progression from Systemic Inflammatory Response Syndrome (SIRS) to Multi-Organ Dysfunction Syndrome (MODS) is associated with a poor prognosis. Given this challenge, what is the primary goal in the management of these patients to improve their overall prognosis?
Focus solely on treating existing organ dysfunctions once MODS develops.
Muscle weakness
Delay treatment interventions until organ failure is confirmed for accurate diagnosis.
Prevent the progression from SIRS to MODS to improve prognosis.
The Correct Answer is D
A. Focus solely on treating existing organ dysfunctions once MODS develops:
While treating organ dysfunction is necessary, prevention is key. Once MODS sets in, prognosis worsens significantly.
B. Muscle weakness:
This is a symptom, not a goal of management. It is common in critically ill patients but not the focus here.
C. Delay treatment interventions until organ failure is confirmed for accurate diagnosis:
Delaying treatment leads to worsening of SIRS and a higher risk of MODS. Early intervention is critical.
D. Prevent the progression from SIRS to MODS to improve prognosis:
Early recognition and treatment of SIRS (e.g., with fluids, antibiotics, and source control in sepsis) can prevent MODS and improve outcomes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Paradoxical heat sensation:
This occurs in hypothermia, not typically during frostbite rewarming.
B. Permanent nerve damage:
While this is a possible complication of severe frostbite, it is not expected during thawing. The nurse should not prematurely alarm the patient with worst-case outcomes.
C. Immediate return to normal temperature:
Return of tissue temperature is gradual, and the affected area may remain cool for a while. Full recovery takes time.
D. Swelling should be expected with thawing and frostbite injury:
This is the accurate and expected response. Reperfusion causes inflammatory swelling, redness, and pain.
Correct Answer is C
Explanation
A. "Distributive shock occurs due to loss of myocardial contractility.":
This describes cardiogenic shock, not distributive shock.
B. "Distributive shock occurs due to increased systemic vascular resistance.":
Distributive shock features decreased vascular resistance due to vasodilation.
C. "Distributive shock occurs due to systemic vasodilation.":
Distributive shock (e.g., septic, neurogenic, anaphylactic) involves widespread vasodilation, leading to maldistribution of blood flow and hypotension.
D. "Distributive shock occurs due to loss of blood volume.":
That describes hypovolemic shock, not distributive shock.
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