The Nurse, a Member of the Health Care Team in the ED

Multiple Choice

The nurse, a member of the health care team in the ED, is caring for a patient who is determined to be in the irreversible stage of shock. What would be the most appropriate nursing intervention?

A) Provide opportunities for the family to spend time with the patient, and help them to understand the irreversible stage of shock.
B) Inform the patients family immediately that the patient will likely not survive to allow the family time to make plans and move forward.
C) Closely monitor fluid replacement therapy, and inform the family that the patient will probably survive and return to normal life.
D) Protect the patients airway, optimize intravascular volume, and initiate the early rehabilitation process.