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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: This question assesses abstract thinking and judgment by asking the client to consider a hypothetical situation and propose a solution.

Choice B reason: Asking about the city of birth is a fact-based question and does not assess abstract thinking or judgment.

Choice C reason: Inquiring about breakfast is a recall question and does not evaluate abstract thinking or judgment.

Choice D reason: Asking who the president is tests knowledge of current events, not abstract thinking or judgment.

A. Call the surgeon to talk to the patient. B. Offer to call the chaplain for this patient. C. Inform the patient that the survival rate for this surgery is very high. D. Recommend analgesics only during surgery.

Correct Answer is C

Explanation

Choice A reason:

Calling the surgeon to talk to the patient may be helpful in some cases, but it does not directly address the patient's immediate emotional needs. The surgeon can provide detailed information about the procedure, which might alleviate some fears, but this is not always the immediate solution.

Choice B reason:

Offering to call the chaplain for the patient could provide emotional and spiritual support, which is important in holistic care. However, this should be done in addition to addressing the patient's concerns about the surgery itself.

Choice C reason:

Informing the patient that the survival rate for this surgery is very high directly addresses the patient's fear about not surviving the surgery. Providing factual reassurance about the success rate can help to alleviate anxiety and is an appropriate immediate response.

Choice D reason:

Recommending analgesics only during surgery does not address the patient's expressed fear and is not an appropriate response to the emotional concern. Analgesics are for pain management and do not provide reassurance about the outcome of the surgery.

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Which of these would the nurse implement as the priority action for the patient with newly diagnosed septic shock?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which question will the nurse ask a client when assessing their abstract thinking and judgment?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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