Types and Management of Shock · NCLEX Exam

Which lactate value trend is concerning in a patient with shock?

  1. A normal lactate that is steadily decreasing
  2. An elevated lactate above 2 mmol/L that is rising over time
  3. A lactate consistently held below 1 mmol/L
  4. A single elevated lactate that normalises within minutes
Show answer and explanation

Correct answer: An elevated lactate above 2 mmol/L that is rising over time

Elevated and rising lactate indicates worsening tissue hypoperfusion and anaerobic metabolism in shock.

Difficulty: Medium Question 10 of 20

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