The nurse is transferring a patient who is in the progressive stage of shock into ICU from the medical unit. The medical nurse is aware that shock affects many organ systems and that nursing management of the patient will focus on what intervention?
A) Reviewing the cause of shock and prioritizing the patient's psychosocial needs
B) Assessing and understanding shock and the significant changes in assessment data to guide the plan of care
C) Giving the prescribed treatment, but shifting focus to providing family time as the patient is unlikely to survive
D) Promoting the patient's coping skills in an effort to better deal with the physiologic changes accompanying shock
Ans: B
Feedback:
Nursing care of patients in the progressive stage of shock requires expertise in assessing and understanding shock and the significance of changes in assessment data. Early interventions are essential to the survival of patients in shock; thus, suspecting that a patient may be in shock and reporting subtle changes in assessment are imperative. Psychosocial needs, such as coping, are important considerations, but they are not prioritized over physiologic health.
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