A patient has sepsis and is placed on broad-spectrum antibiotics. Her temperature is 37.8°C. Her BUN level is elevated. She continues on vasopressor therapy. What other steps should be taken to protect the patient from inadequate organ perfusion?
a. Increase net ultrafiltrate of fluid.
b. Discontinue vasopressor support.
c. Assess the patient for blood loss and hypotension.
d. Notify the physician of access pressures.
C
The patient should be assessed for blood loss or response to blood products and medications. The nurse should use ordered vasopressor support and decrease the net ultrafiltrate to zero.
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A client has had difficulty achieving glycemic control with oral medications for Type 2 diabetes. Frustrated, the client says, "Isn't there some way to predict how my body will respond?" What is the nurse's best response?
1. "No one has studied that." 2. "Finding the correct medication and dose is a trial-and-error method." 3. "Some studies have been done, but they are not large enough to guide our treatment decisions." 4. "We are many years from having that kind of help from genetic studies."
To effectively assess an older adult patient's sexual needs, the nurse must initially
a. reflect on personal feelings that create barriers to effective communication with the patient. b. be familiar with the sexual needs of the older adult population. c. assess the patient's physical capacity to engage in sexual activities. d. inform the patient of the personal nature of the detailed questioning this assessment requires.
Determine the recommended drug for status epilepticus that can be administered by IV or IM.
A. Lorazepam B. Clonazepam C. Diazepam D. All of the above
How does a nurse assess the head circumference of an infant?
a. Places a ruler behind the infant's head, noting the head width. b. Uses a plastic headband placed around the infant's head from crown to chin. c. Places a measuring tape around the head above the eyebrows and occipital prominence. d. Uses a measuring tape to find the distance between the ears and eyes and between the eyes and occiput.