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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Lying prone may be part of the care plan but is not specifically aimed at promoting ambulation.
Choice B reason: Coordination exercises are important but secondary to building the strength necessary for using mobility aids.
Choice C reason: Building upper body strength is essential for a patient who has had an above-the-knee amputation to be able to use assistive devices for ambulation effectively.
Choice D reason: Maintaining residual limb elevation is important for reducing swelling but does not directly promote ambulation.
Correct Answer is A
Explanation
Choice A reason: Dehiscence refers to the separation of layers of a surgical wound, which may be partial or complete.
Choice B reason: Evisceration is a more severe complication where the wound opens and internal organs may protrude.
Choice C reason: Gaping refers to a wound that is open but does not necessarily indicate the layers have separated, as in dehiscence.
Choice D reason: Distention generally refers to swelling or enlargement of an organ or area, not specifically to the opening of a wound.
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