The nurse explains to a concerned family member about the purpose of some of the interventions for systemic inflammatory response syndrome (SIRS), which is:
1. application of a MAST garment to promote and conserve body heat.
2. insertion of an IABP to decrease fluid leaking into the extravascular space.
3. maintenance of strict isolation to prevent an overlying bacterial infection.
4. aggressive treatment to support the multiple failing organs.
4
SIRS is the final and possibly fatal stage of shock. The body's defenses are supported ag-gressively and rapidly. MAST and IABP are measures used to increase circulating volume. Isolation is not indicated.
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Which person is most at risk for a hypersensitivity reaction?
a. 26-year-old receiving his second desensitization injection b. 35-year-old starting back on birth control tablets c. The 52-year-old started on a new series of Pyridium for cystitis d. The 84-year-old receiving penicillin for an annually recurring respiratory infection
A client with coronary artery disease tells you that they always look for foods that are labeled "cholesterol free.". Foods with this label may still promote heart disease if they are high in
a. monounsaturated fat and cis fat. b. polyunsaturated fat and trans fat. c. saturated fat and trans fat. d. medium chain triglycerides and cis fat.
Ordered: dicloxacillin sodium susp 0.2 g PO q8h. Available: a. Estimated dose after reconstitution:How many milliliters will the nurse prepare?
b. DA equation: c. Evaluation: Shade in the medicine cup with the nearest measurable dose. Indicate with an arrow the addi-tional amount to be added with the syringe.
When team nursing is used, a registered nurse team leader determines the nursing needs of all patients assigned to the team
Indicate whether the statement is true or false