hard · NCLEX-RN physiological
The nurse is reviewing the 'Five Steps of Clinical Judgment' for a client in shock. Which actions correspond to the 'Analyze Mechanism' step? Select all that apply.
- Ranking the consequence of delaying treatment for septic shock
- Starting a 1-liter fluid bolus as ordered
- Identifying that cool, clammy skin with flat neck veins suggests hypovolemia
- Reassessing the MAP ten minutes after a medication change
- Differentiating if hypotension is caused by pump failure or volume loss
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