What will the nurse include in the management plan for a patient with sepsis?
1. Use high tidal volumes on the ventilator to prevent adult respiratory distress syndrome (ARDS).
2. Assess capillary blood glucose and prevent hyperglycemia.
3. Stabilize and debride an infected wound after administering antibiotics for 24 hours.
4. Avoid CT and MRI scans until the patient is stable.
2
Rationale 1: High tidal volumes should be avoided in the presence of ARDS and do not prevent its development.
Rationale 2: The blood glucose should be maintained between 80 and 150 mg/dL.
Rationale 3: Sources of infection should be removed as soon as possible.
Rationale 4: CT and MRI scans are often helpful in identifying causes of sepsis.
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The nurse would teach the adolescent with a conversion disorder what the person "gets" from having the disorder. This explanation would include a discussion of:
1. Preoccupation with the belief that the person has a serious disease without physical evidence. 2. Primary and secondary gains. 3. An overreaction by caregivers to the client's somatic complaints. 4. A pain cure.
A patient is admitted with epistaxis. Pressure has been applied to the patient's midline septum for 10 minutes. The attempt to stop the bleeding is unsuccessful. What treatments may be used to control the bleeding?
A) Nasal plugs B) Suction C) Nasal spray D) Silver nitrate applicators
An older adult client is diagnosed with cardiomyopathy and a cardiac dysrhythmia. What would the nurse expect to be prescribed for this client?
A) Beta blocker B) Digoxin C) Nitrate medications D) Fluids
A 68-year-old patient tells the nurse she does not understand why she has had more colds over the last several years. The nurse considers which component of normal aging before replying?
1. There is a decrease in the number and function of T cells. 2. The flu vaccine given to the elderly is not as potent as that given to younger adults. 3. There is a decrease in complement. 4. The B cells respond more rapidly.