The nurse is caring for a patient admitted to the critical care unit 48 hours ago with a diagnosis of severe sepsis
As part of this patient's care plan, what intervention is most important for the nurse to discuss with the multidisciplinary care team? a. Frequent turning
b. Monitoring intake and output
c. Enteral feedings
d. Pain management
C
Initiation of enteral feedings within 24 to 48 hours of admission is critical in reducing the risk of infection by assisting in maintaining the integrity of the intestinal mucosa. Monitoring intake and output, frequent turning, and pain management are important aspects of care but are not a critical priority during the first 24 to 48 hours following admission.
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A boy with a conduct disorder diagnosis would be most likely to have which symptom?
A. Withdrawal B. Ritualistic behavior C. Class bully D. Class clown
A 71-year-old man has been diagnosed with colon cancer after a recent colonoscopy. How can the nurse best address the man's anxiety surrounding his diagnosis?
A) "Try to remember that nearly everyone who is diagnosed with cancer these days survives.". B) "I don't think you will have a great deal of trouble with pain.". C) "This must be very stressful for you. Who are the people that you can rely on for support at this time?" D) "I'd encourage you to explore alternative and complementary therapies.".
It is important to prevent hypothermia in the trauma patient because hypothermia is associated with which of the following? (Select all that apply.)
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a. Fluid volume deficit related to frequent, loose stools b. Risk for fluid volume overload due to IV infusion c. Potential for enhanced spiritual well-being d. Rape trauma syndrome