The nurse anticipates assisting with which therapy to achieve improved outcomes for a patient who is in septic shock?

1. Vasopressin instead of dopamine for hypotension
2. Early use of neuromuscular blocking agents
3. Limiting fluids to 3 liters per day
4. Mechanical ventilation with a tidal volume of 4 to 6 ml/kg


4
Rationale 1: Norephinephrine and dopamine are the first-line vasopressors to support perfusion.
Rationale 2: Neuromuscular blocking agents should be avoided if possible due to the complications of immobility.
Rationale 3: Fluids should be administered as needed to support perfusion. Fluids are limited if the patient is in cardiogenic shock.
Rationale 4: Current evidence suggests that maintaining mechanical ventilation with lower-than-traditional tidal volumes of 4 to 6 ml/kg results in improved outcomes.

Nursing

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The nurse manager has scheduled a series of meetings with employees to solve a unit problem. The manager purposefully created a 2-week gap in the meetings to allow which portion of the creative process to occur?

1. Farsight 2. Verification 3. Preparation 4. Incubation

Nursing

A nurse researcher has chosen to use the phenomenologic method. What feature distinguishes the intensive dialogue the researcher will use in this method from a simple interview?

a. Notes are made about the participant's responses during the interview. b. The researcher is fully engaged, becoming a thoughtful presence during the interview. c. The questions posed during the interview were developed before the actual interview occurred. d. The researcher completes the questionnaire for the participant to avoid misunderstanding or confusion.

Nursing

The nurse is caring for a client with diabetes. What should the nurse include as foot care for this client?

1. Cut toenails in a rounded shape and file. 2. Dry toes thoroughly. 3. Wash feet with water at a temperature of 90°F to 98.6°F. 4. Inspect feet thoroughly once a week.

Nursing

This style centers on the goals and forsakes the relationship. An individual with this style uses confidence, firmness, and power to obtain the goal. Others' desires are forced aside

Match the style of handling conflict with its description. a. Collaborative d. Forcing b. Compromise e. Avoidance c. Accommodative

Nursing