What opportunities existed during Matthew's time in the emergency department to optimise his ‘sepsis path'?
What will be an ideal response?
Suggested response: Empirical guidelines and sepsis trigger tools that utilise the sepsis bundles may have alerted staff early to the need for rapid administration of empirical antibiotics. Given the note that Matthew was MRSA positive, vancomycin would have been an appropriate agent. No lactate was measured and this may have provided an early indication of the severity of illness. He is given fluid even though he is not hypotensive but his history notes hypertension, so the recorded systolic of 143 may be quite low for him. Matthew is transferred between units and pending results. This increases the risk of accidental omissions in handover and review of results. It also interrupts the provision of early sepsis bundles, which rely on speed of care delivery to reduce the risk of worsening the sepsis state.
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When teaching a pregnant client about the physiologic changes occurring during pregnancy, the nurse reviews the effect of pregnancy on glucose metabolism. Which of the following would the nurse include as the underlying reason for the effect?
A) Pancreatic function is affected by pregnancy. B) Glucose is utilized more rapidly during a pregnancy. C) The pregnant woman increases her dietary intake. D) Glucose is diverted through the placenta to assist the fetus.
A patient who was thrown from a horse suffered a penetrating wound of the chest that led to acute respiratory failure
The patient is now extubated and recovering on the medical-surgical unit of the hospital. As time for discharge draws near, the nurse would plan teaching to include what priority? A) Emotional support B) Wound care C) Activity level D) Nutrition
When assessing acute kidney injury in the pediatric population using the pRIFLE criteria, the nurse observes which parameters?
A) Serum creatinine levels B) Changes in glomerular filtration rate C) Blood urea nitrogen levels D) Urinary output
The nurse is performing discharge teaching for a client taking an NSAID. The client states he has heard that taking an antacid with this medication will help decrease the incidence of upset stomach. What is the nurse's best response?
1. "Antacids reduce the absorption and therefore the effectiveness of the NSAID." 2. "Antacids help to reduce the incidence of gastric bleeding that could occur with the use of NSAIDs." 3. "Antacids should never be taken with an NSAID." 4. "Antacids help to reduce the incidence of pain."