The nurse is treating a client who has been diagnosed with shock. What is the first step in treating this client?
1. Medications to counteract the sequelae
2. Basic life support
3. Blood and/or blood products
4. Fluid replacement
2
Rationale 1: Medications to counteract the sequelae is incorrect because the first step is basic life support.
Rationale 2: Once basic life support has been established (airway and breathing, then circulation), more specific treatment of the underlying cause may be administered. This would include replacing fluids (including blood), if hemorrhage is the cause, and administering medications, including those that will counteract the cause if the shock is anaphylactic in nature.
Rationale 3: Blood and/or blood products are indicated to identify the underlying cause but that is not the initial treatment.
Rationale 4: Fluid replacement may be indicated after initiating basic life support.
Global Rationale: Once basic life support has been established (airway and breathing, then circulation), more specific treatment is to identify and treat the underlying cause. This would include replacing fluids (including blood), if hemorrhage is the cause, and administering medications, including those that will counteract the cause if the shock is anaphylactic in nature.
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