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 D
Explanation
Choice A reason: Instructing the patient to wear constrictive clothing is incorrect, as it can worsen venous stasis ulcers by impeding blood flow.
Choice B reason: Encouraging the patient to keep legs in a dependent position is not recommended, as elevation helps in reducing venous pressure.
Choice C reason: Frequent ambulation is encouraged to promote blood circulation and prevent stasis.
Choice D reason: Applying compression stockings is a standard care practice to help reduce venous pressure and prevent fluid from pooling in the legs.
Correct Answer is B
Explanation
Choice A reason: While relaxation techniques are beneficial, providing structure is often the first step in helping clients with OCD manage their symptoms, as it can reduce anxiety and prevent time for obsessions and compulsions to occur.
Choice B reason: A structured schedule can help the client focus on tasks and activities, reducing the time available for obsessive thoughts and compulsive behaviors.
Choice C reason: Identifying expectations is important, but it should come after establishing a structured routine that can support the client's participation in care.
Choice D reason: Discussing alternative coping strategies is a part of treatment, but initially providing a structured schedule can offer immediate relief and a sense of control for the client.
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