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A client who experienced shock is now nonresponsive and having cardiac dysrhythmias. The client is being mechanically ventilated, receiving medications to maintain renal perfusion, and is not responding to treatment. In this stage, it is most important for the nurse to

a) Encourage the family to touch and talk to the client.
b) Inform the family that everything is being done to assist with the client's survival.
c) Open up discussion among the family members about nursing home placement.
d) Contact a spiritual advisor to provide comfort to the family.

1 Answer

1 vote

Final answer:

a) Encourage the family to touch and talk to the client. In the scenario where a shock patient is nonresponsive and not responding to treatment, the most important action for a nurse is to contact a spiritual advisor to provide comfort to the family.

Step-by-step explanation:

A client who experienced shock is now nonresponsive and having cardiac dysrhythmias, while also being mechanically ventilated and not responding to treatments to maintain renal perfusion. In this stage, it is most important for the nurse to contact a spiritual advisor to provide comfort to the family (option d). The client appears to be in the end stages of life, and thus the focus often shifts to providing comfort and support to the family during this difficult time. This is a part of end-of-life care which includes recognizing when a patient is no longer responding to treatment and transitioning the approach to ensuring the patient's and family's comfort and psychological support.

In this stage, it is most important for the nurse to inform the family that everything is being done to assist with the client's survival. The client in this scenario is nonresponsive and having cardiac dysrhythmias, indicating a severe state of shock. In such cases, the focus of the nurse should be on providing accurate information to the family and assuring them that all possible measures are being taken to save the client's life.

User Ullas Prabhakar
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