All of the following are the nursing interventions in the management of a patient with shock, except :

IGNOU PB Bsc Nsg.Entrance-2026

Medical & Surgical Nursing

Medium

Appeared in: IGNOU PB Bsc Nsg.Entrance-2026

Explanation

This is the correct answer because it is an action that should NOT be performed for a patient in shock.
Elevating the head of the bed in a hypotensive patient decreases venous return to the heart due to gravity.
This action reduces cardiac output and can worsen cerebral hypoperfusion, potentially leading to brain injury.
The appropriate position for most types of shock is supine, often with the legs elevated (modified Trendelenburg position) to enhance venous return.

Option A: This is a correct and essential intervention, especially in hemorrhagic shock. The question asks for the exception.
Option B: This is a correct and standard intervention for any critically ill patient, including those in shock. The question asks for the exception.
Option D: This is a correct and priority intervention, representing the 'A' and 'B' in the ABCs of resuscitation. The question asks for the exception.

Clinical Relevance

Nursing practice connection: Prioritize focused assessment, early escalation, and real-time monitoring when managing Nursing management of shock in acute care settings.
In managing shock, a nurse's immediate actions can significantly impact patient survival. Prioritizing interventions based on the ABCs and understanding correct patient positioning are fundamental skills.
Patient Safety: Incorrectly positioning a patient in shock by elevating their head can rapidly lead to a dangerous drop in blood pressure and loss of consciousness. Always keep the patient supine unless a specific contraindication exists.
What if? If the patient had cardiogenic shock with acute pulmonary edema, the nurse might place them in a semi-Fowler's or high-Fowler's position with legs down to reduce venous return and decrease the workload on the failing heart. This highlights how the type of shock dictates the correct intervention.

How to Approach the Question

First, identify that the question is asking for an exception ('except'). This means you are looking for the action that is NOT appropriate.
Read the stem carefully: 'nursing interventions in the management of a patient with shock'.
Evaluate each option based on the principles of shock management (ABCs, perfusion).
Option A (stop bleeding), B (cardiac monitoring), and D (airway/breathing) are all fundamental and correct interventions for shock.
Option C (elevate head) is related to patient positioning. Think about the goal of improving blood flow to the core. Elevating the head would work against this goal.
Conclude that elevating the head of the bed is the incorrect action and therefore the correct answer to this 'except' question.

Concept Tested & Keywords

Concept Tested: Nursing management of shock
Stem keywords: nursing interventions, management, patient with shock
Lead-in keywords: except
Negative lead-in flag: This is a negative-lead-in question asking for the exception.

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