The nurse, implementing the sepsis management bundle for a patient in the intensive care unit, is aware of which information about this bundle?
1. When all elements of the sepsis management bundle are used, survival is prolonged.
2. The sepsis management bundle has not received uniform support.
3. The purpose of the sepsis management bundle is to improve the patient's hemodynamics within 4 hours.
4. The Surviving Sepsis Campaign recommends universal use of each of the elements of the sepsis management bundle to decrease mortality.
2
Rationale 1: Evidence has not consistently shown survival.
Rationale 2: The sepsis management bundle has not received uniform support because the elements have not been shown to increase survival or to decrease mortality.
Rationale 3: There is no evidence for improvement in 4 hours.
Rationale 4: The surviving sepsis campaign has recommended that each of the elements be assessed and, if appropriate, the interventions be instituted.
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A colostomy is a surgically created opening between the:
a. Small intestine and abdominal wall b. Colon and abdominal wall c. Ileum and abdominal wall d. Rectum and abdominal wall
Several small communities have applied for grant funding from the state department of health to help decrease their teenage pregnancy rate. Which of the following communities should the nurse suggest receive funding first?
a. Community A—with 23 single teenage pregnancies in a city of 500 b. Community B—with 45 single teenage pregnancies in a city of 1000 c. Community C—with 90 single teenage pregnancies in a city of 2000 d. Community D—with 90 single teenage pregnancies in a city of 1500
Describe what the nursing assistant can do to be successful in dealing with patients with demanding behavior.
What will be an ideal response?
The nurse is completing the preoperative checklist for an adult patient who is scheduled for an operative procedure later in the morning. Which preoperative assessment finding for this patient indicates a need to contact the anaesthesiologist?
a. Temperature 39ºC b. Pulse 90 beats per minute c. Respirations 20 breaths per minute d. Blood pressure 130/74 mm Hg