A patient has been on the medical floor for 1 week after a vaginal hysterectomy. A urinary catheter was inserted. Complete blood cell count results have revealed escalating white blood cell counts
The patient is transferred to the critical care unit when her condition deteriorates. Septic shock is diagnosed. A pulmonary artery catheter is placed. Which of the following hemodynamic values would you expect to find? a. Cardiac output of 8 L/min
b. Right atrial pressure of 17 mm Hg
c. Pulmonary artery wedge pressure of 23 mm Hg
d. Systemic vascular resistance of 1100
A
Increased cardiac output and decreased systemic vascular resistance are classic signs of septic shock.
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An 18-month-old child is admitted to the hospital unit for weakness of the lower extremities. Duchenne muscular dystrophy is suspected. Which assessment finding on the admission history and physical is indicative of this disorder?
1. Infant was post-mature by almost two weeks. 2. The child seems very muscular. 3. The child walked early and without support at 10 months. 4. The child's older sister developed scoliosis in the fourth grade.
During a head-to-toe assessment, the nurse assesses the patient's abdomen. Which area should the nurse assess next?
a. Chest b. Arms c. Legs and feet d. Perineal area
Changing visitation policies can be challenging. The nurse manager recognizes the following as an effective strategy for promoting changes in practice:
a. Ask the clinical nurse specialist to lead a journal club on open visitation after each nurse is tasked to read one research article about visitation. b. Discuss pros and cons of open visitation at the next staff meeting. c. Invite the nurses with the most experience to develop a revised policy. d. Task the unit-based nurse practice council to invite volunteers to serve on the council to revise the current policy toward more liberal visitation.
Which of the following is not one of the "domains" of nursing interventions detailed in the Nursing Interventions Classification (NIC) System?
1. Health system 2. Lifestyle 3. Physiologic: basic 4. Physiologic: complex 5. Safety