As the nurse cares for the patient with hypovolemic shock what are the priority interventions? (Select all that apply)
Explanation & Rationale
Rationale: A. Antidiarrheal medication for diarrhea is incorrect because, although diarrhea can contribute to fluid loss, administering antidiarrheals is not a priority intervention in the acute management of hypovolemic shock. Immediate life-saving measures focus on restoring circulation, oxygenation, and treating the underlying cause rather than symptom control. B. Assist during emergency revascularization is incorrect because revascularization is primarily indicated for cardiogenic or obstructive causes of shock (such as myocardial infarction or vascular occlusion), not hypovolemic shock, which results from a loss of intravascular volume. C. Eliminate and treat the cause of shock is correct because stopping the source of fluid loss (such as hemorrhage, dehydration, burns, or third spacing) is essential to prevent further volume depletion and progression of shock. D. Intubate for oxygenation and ventilation is correct because patients in hypovolemic shock may have impaired oxygen delivery to tissues. Airway protection and supplemental oxygen or mechanical ventilation may be necessary to optimize oxygenation and reduce the work of breathing. E. Replace lost volume with appropriate fluid is correct because rapid fluid resuscitation with isotonic crystalloids and/or blood products is the cornerstone of treatment for hypovolemic shock to restore circulating volume, improve cardiac output, and maintain tissue perfusion.