Shock States and Fluid Resuscitation · NCLEX Exam

A patient in the progressive stage of shock presents with mottled skin, oliguria, and rising lactate. What is the most appropriate priority for management?

  1. Observe the patient and reassess at a later time
  2. Continue minimal maintenance fluids only for now
  3. Rapid fluids, vasoactive support, and treat the cause
  4. Discontinue all fluids and withhold further therapy
Show answer and explanation

Correct answer: Rapid fluids, vasoactive support, and treat the cause

In the progressive stage, it is essential to rapidly restore perfusion with fluids, vasopressors, and treat the underlying cause to prevent organ failure.

Difficulty: Hard Question 16 of 18

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