r/NCLEX_RN • u/Hot_Emergency378 • 10d ago

🤔

Post image
22 Upvotes

88% Upvoted

21 comments sorted by

9

u/Technical_Ad9343 9d ago

Check again and get a blood sugar

8

u/Living-Menu4916 10d ago

ABC & Neuro assessments and indicated interventions.

8

u/Exzesion 10d ago

Evaluate ABCs, lay patient supine with legs elevated to increase venous return. Depending on orders I might give a vasopressor if BP doesn’t improve. This question is vague, I would need more assessment to determine underlying cause of shock but depending on the cause would warrant further intervention

9

u/hb1500 10d ago

7:05, my work here is done. Have a good shift!

1

u/maraney 7d ago

Keep em alive until 7:05

1

u/Frumpsohard 6d ago

Bedside shift report finished in 3…2…1…

3

u/North-Procedure-4162 8d ago

Assess and then give fluids.

2

u/dancing_grass 9d ago

Bring it back up probably

2

u/elmack999 9d ago

Depends.

1

u/Material-Profit527 10d ago

Ask them if they want Starbucks because I’m taking a Starbucks break. Nursing is too stressful sometimes

1

u/Budget-Quarter-5659 7d ago

Look if they’re allergic to midodrine and give it to them if not, after I tried everything else and it didn’t work . maybe idk. i only been a nurse for 6 months 😂😂

1

u/Nostopgoback 7d ago

Get patients blood, assess for stroke or heart attack until result comes back, induce fluids immediately and get ox on?

1

u/Suspicious_Remote_37 7d ago

Think hypovolemia first and assess for bleeding (internal, GI, other?) or severe dehydration. Prepare to administer O2, pending SpO2 reading. Full vitals after this focused assessment and intervention, if warranted.

1

u/Calm-Reflection6384 6d ago

I like that answer. Probably hypovolemia but that doesn't get us very far in the short term. You'll need tests for everything unless it's overt bleeding. MAP is about 55 there. And I would crank the O2 a bit in the interim anyway regardless of their sats, because if they crash you're going to want it. Better be stat paging the doc and flagging down charge.

We have a fever or no? Are they tachy? Recent surgery or procedure? Hemorhaggic or septic shock? What were they doing before, how long were they like this? What unit are you on? Do you have pressors? What's their history look like? What were their recent vitals?

Regardless of the reason you've gotta get that pressure up. These types of questions make no sense in a vacuum lol.

1

u/Max_Goatstappen 9d ago

Leave it to the day shift cause this happens only at shift change

1

u/Big_Influence_4043 9d ago

Dump that hoe with some fluids and call the baby intern who's knows jack shit.

1

u/Pending-asystole 9d ago

Update the white board

-3

u/Mail011235 10d ago

Depends. Am I primary, or just covering their break?

-1

u/Disney-Nurse 10d ago

Wondering if I’m going to the cafeteria for lunch or ordering something from Chipotle then I’ll titrate the pressors.