To reduce the risk that their patients will develop complications from shock requires the nurse to:
A) Provide an accurate diagnosis, plan of care, and appropriate interventions to allow the patient the best chance for survival
B) Keep the physician updated with the most accurate information; the nurse is often powerless to help in cases of shock
C) Monitor for significant changes and evaluate patient outcomes on a scheduled basis, focusing on blood pressure and skin temperature
D) Understand the underlying mechanisms of shock, recognize the subtle and more obvious signs, then provide rapid assessment and response.
Ans: D
Feedback: Shock is a life-threatening condition with a variety of underlying causes. It is critical that the nurse applies the nursing process as the guide for care. Shock is unpredictable and rapidly changing; the nurse must understand the underlying mechanisms of shock. The nurse must also be able to recognize the subtle as well as more obvious signs and then provide rapid assessment and response to provide the patient with the best chance for recovery. Option A is a good answer but not the best answer; an accurate diagnosis is not as important as understanding the underlying mechanisms of shock. Option B is incorrect; keeping the physician updated with the most accurate information is important, but the nurse is in the best position to provide rapid assessment and response, which gives the patient the best chance for survival. Option C is incorrect; monitoring for significant changes is critical, and evaluating patient outcomes is always a part of the nursing process. But the subtle signs and symptoms of shock are as important as the more obvious signs such as blood pressure and skin temperature.
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