A client who is in shock is receiving a continuous IV infusion of a sympathomim nurse include in this olient's plan of care? A Assess the client's blood pressure every 8 hours. B Continuously monitor the client's pulmonary capillary wedge pressure. C Monitor the client's complete blood count dally. D Measure the client's urinary output hourly.

Question

A client who is in shock is receiving a continuous IV infusion of a sympathomim nurse include in this olient's plan of care? A Assess the client's blood pressure every 8 hours. B Continuously monitor the client's pulmonary capillary wedge pressure. C Monitor the client's complete blood count dally. D Measure the client's urinary output hourly.

Answer 1

The correct answer is:**D. Measure the client's urinary output hourly.**### Explanation:When a client is in shock and receiving a continuous IV infusion of a sympathomimetic (e.g., dopamine, norepinephrine), close monitoring of organ perfusion and fluid balance is critical. Urinary output is one of the most sensitive indicators of renal perfusion and overall tissue perfusion. Measuring it hourly helps assess whether the treatment is effective in maintaining adequate blood flow to vital organs.#### Why not the other options?- **A. Assess the client's blood pressure every 8 hours:** Blood pressure should be monitored much more frequently in a client in shock, especially when receiving a sympathomimetic infusion. Continuous or frequent monitoring (e.g., every 15 minutes to 1 hour) is necessary to ensure hemodynamic stability. - **B. Continuously monitor the client's pulmonary capillary wedge pressure:** While this may be appropriate for some clients in shock (e.g., those with invasive hemodynamic monitoring like a Swan-Ganz catheter), it is not universally applicable to all clients in shock. Additionally, this is not as routine or practical as monitoring urinary output.- **C. Monitor the client's complete blood count daily:** Although monitoring lab values like CBC is important, it does not provide immediate feedback on the client's perfusion status or response to therapy. Hourly urinary output is a more direct and timely indicator.### Key Point:Hourly measurement of urinary output is a standard part of care for clients in shock because it provides real-time information about kidney function and tissue perfusion, which are critical in assessing the effectiveness of treatment.

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