What is the earliest sign of shock that the nurse would monitor for during a routine assessment?

Restlessness

Pale skin

Complaints of thirst

Complaints of nausea

Answer and Explanation

The Correct Answer is A

A) Restlessness.
Restlessness is often one of the earliest signs of shock. It reflects the body's attempt to compensate for decreased tissue perfusion and oxygen delivery by increasing sympathetic nervous system activity. Restlessness may manifest as agitation, fidgeting, or an inability to sit still. It is an important clinical indicator that suggests impending hemodynamic instability and warrants prompt assessment and intervention.

B) Pale skin:
Pale skin is a common sign of shock, but it may not always be the earliest manifestation. Pale skin typically occurs later in the progression of shock as vasoconstriction occurs, redirecting blood flow away from the skin to vital organs in an attempt to maintain perfusion.

C) Complaints of thirst:
While complaints of thirst may indicate dehydration or fluid loss, they are not typically considered the earliest sign of shock. Thirst usually occurs after the body has already begun to experience fluid deficit and may not be apparent until shock is more advanced.

D) Complaints of nausea:
Nausea may occur in shock due to decreased perfusion to the gastrointestinal tract, but it is not usually the earliest sign. Nausea may develop as shock progresses and metabolic disturbances worsen, but it is often preceded by other symptoms such as restlessness or altered mental status.

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Correct Answer is ["B","C","D","E"]

Explanation

A. Wheezing: Wheezing is not a typical symptom of allergic rhinitis. It is more commonly associated with asthma or other lower respiratory conditions.

B. Sneezing: Sneezing is a common symptom of allergic rhinitis. It is often triggered by exposure to allergens such as pollen, dust mites, or pet dander.

C. Watery eyes: Watery eyes, also known as allergic conjunctivitis, frequently accompany allergic rhinitis. This symptom occurs due to inflammation of the conjunctiva in response to allergen exposure.

D. Nasal congestion: Nasal congestion, or a stuffy nose, is a hallmark symptom of allergic rhinitis. It occurs as a result of inflammation and swelling of the nasal mucosa in response to allergens.

E. Urticaria: Urticaria, commonly referred to as hives, may occur in some individuals with allergic rhinitis. However, it is more commonly associated with other types of allergic reactions, such as food allergies or drug allergies.

A. The medication will relieve wheezing. B. The medication will reduce inflammation. C. The medication will increase the amount of mucus. D. The medication will decrease coughing episodes. E. The medication will open the airways.

Correct Answer is ["A","E"]

Explanation

A. The medication will relieve wheezing: Albuterol is a short-acting beta agonist bronchodilator that works by quickly relaxing the smooth muscles of the airways, leading to rapid bronchodilation. This helps relieve symptoms such as wheezing, shortness of breath, and chest tightness commonly associated with asthma exacerbations.

B. The medication will reduce inflammation: Albuterol is not primarily indicated for reducing inflammation in asthma. While it can help alleviate symptoms of bronchospasm, it does not target the underlying inflammation associated with asthma.

C. The medication will increase the amount of mucus: Albuterol does not increase mucus production. In fact, it is a bronchodilator medication that primarily targets airway smooth muscle relaxation and bronchodilation to improve airflow and relieve symptoms.

D. The medication will decrease coughing episodes: Albuterol can help decrease coughing episodes by relieving bronchospasm and improving airflow. However, its primary mechanism of action is bronchodilation rather than directly targeting coughing.

E. The medication will open the airways: Albuterol works by stimulating beta-2 adrenergic receptors in the airway smooth muscles, resulting in relaxation of these muscles and dilation of the bronchial tubes. This action helps to open the airways, allowing for improved airflow and easier breathing.

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What is the earliest sign of shock that the nurse would monitor for during a routine assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been diagnosed with allergic rhinitis. Which symptoms would the nurse expect to observe? (Select All that Apply.)

Correct Answer is ["B","C","D","E"]

Explanation

A nurse is caring for a client who has asthma. The client asks the nurse how albuterol helps his breathing. Which of the following information should the nurse include in the response? (Select all that apply.)

Correct Answer is ["A","E"]

Explanation

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