A patient with profuse diarrhoea is pale, restless and clammy, with a weak rapid pulse and a blood pressure of 84/50 mmHg. Which intervention should the nurse prioritise?
Correct answer: A. Start prescribed isotonic intravenous fluid replacement
- A. Start prescribed isotonic intravenous fluid replacement
- B. Give a prescribed oral laxative to clear the bowel
- C. Place a warm blanket and delay intravenous access
- D. Restrict fluids until the blood pressure improves
Explanation
The findings indicate hypovolaemic shock from fluid loss, so rapid vascular access and prescribed isotonic fluid replacement support circulation. Comfort measures alone and fluid restriction worsen tissue hypoperfusion, while a laxative is inappropriate.
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About Critical Care and Emergency Nursing
Covers rapid assessment and stabilisation of patients with airway obstruction, respiratory failure, shock, cardiac arrest, sepsis, poisoning and major electrolyte disturbances. It includes triage, the ABCDE approach, cardiopulmonary resuscitation, ventilator and monitor care, emergency medicines and distinguishing life-threatening deterioration from stable illness.
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