In the plan of care, the most important intervention for a patient experiencing shock is assessing:

Respirations rate.

Heart rate.

Blood pressure.

Temperature.

Answer and Explanation

The Correct Answer is C

A) Respirations rate:
Respiratory rate is an important vital sign to monitor in patients with shock, as respiratory distress can indicate inadequate oxygenation. However, blood pressure is generally considered more critical to assess initially in the context of shock because it directly reflects tissue perfusion and oxygen delivery.

B) Heart rate:
Heart rate is an important vital sign to monitor in patients with shock, as tachycardia (rapid heart rate) may indicate the body's compensatory response to maintain cardiac output and tissue perfusion. However, blood pressure is generally considered more critical to assess initially in the context of shock because it directly reflects tissue perfusion and oxygen delivery.

C) Blood pressure.
In shock, the body's vital organs are not receiving adequate blood flow and oxygen, leading to a life-threatening condition. While all vital signs are important to monitor in a patient experiencing shock, blood pressure is typically considered the most critical because it reflects the perfusion pressure—the force driving blood through the circulatory system to deliver oxygen and nutrients to the body's tissues. A decrease in blood pressure can indicate inadequate tissue perfusion and impending organ failure. Therefore, timely assessment and monitoring of blood pressure are essential for identifying and managing shock effectively.

D) Temperature:
Temperature monitoring is important in assessing for signs of infection or other systemic issues that may contribute to shock, such as sepsis. However, blood pressure is generally considered more critical to assess initially in the context of shock because it directly reflects tissue perfusion and oxygen delivery.

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Correct Answer is D

Explanation

A) Inspiration:
Inspiration refers to the process of inhaling or breathing in air into the lungs. It involves the contraction of the diaphragm and expansion of the chest cavity, leading to the intake of air into the lungs.

B) Expiration:
Expiration, also known as exhalation, refers to the process of exhaling or breathing out air from the lungs. It involves the relaxation of the diaphragm and chest muscles, leading to the expulsion of air from the lungs.

C) Respiration:
Respiration is a broader term that encompasses both ventilation (the mechanical process of breathing) and gas exchange (the exchange of oxygen and carbon dioxide between the lungs and blood). While respiration involves both air movement and gas exchange, it does not specifically refer to blood flow through the lung, which is described by the term perfusion.

D) Perfusion.
Perfusion refers to the circulation of blood through the lung's blood vessels, including the pulmonary arteries and pulmonary capillaries. This process allows for the exchange of gases (oxygen and carbon dioxide) between the blood and the air in the lungs during respiration. Perfusion is essential for oxygenating blood and removing carbon dioxide, which is crucial for maintaining normal cellular function throughout the body.

A. Theophylline B. Montelukast C. Albuterol D. Salmeterol

Correct Answer is C

Explanation

A) Theophylline:
Theophylline is a bronchodilator medication that is used for the long-term management of asthma and chronic obstructive pulmonary disease (COPD). It has a slower onset of action compared to short-acting beta-agonists like albuterol and is not typically used as the initial treatment for acute asthma exacerbations.

B) Montelukast:
Montelukast is a leukotriene receptor antagonist used for the long-term control and prevention of asthma symptoms, but it is not typically used as the initial treatment for acute asthma exacerbations. Its onset of action is slower compared to short-acting beta-agonists like albuterol.

C) Albuterol.
Albuterol is a short-acting beta agonist bronchodilator commonly used as a first-line treatment for acute asthma exacerbations. It works by quickly relaxing the smooth muscles of the airways, leading to rapid bronchodilation and improvement of airflow. This can help alleviate the patient's symptoms of shortness of breath and wheezing.

D) Salmeterol:
Salmeterol is a long-acting beta-agonist bronchodilator used for the maintenance treatment of asthma and COPD, but it is not typically used as the initial treatment for acute asthma exacerbations. Its onset of action is slower compared to short-acting beta-agonists like albuterol, and it is not recommended for rapid relief of acute symptoms.

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In the plan of care, the most important intervention for a patient experiencing shock is assessing:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the correct term for blood flow through the lung?

Correct Answer is D

Explanation

Correct Answer is C

Explanation

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