A client who has septic shock is admitted to the hospital. What priority intervention does the nurse implement first?

a. Obtain two sets of blood cultures.
b. Administer the prescribed IV vancomycin (Vancocin).
c. Obtain central venous pressure (CVP) measurements.
d. Administer the prescribed IV norepineph-rine (Levophed).


A
Blood cultures should be obtained before IV antibiotics are started. If hypotension occurs, fluid resuscitation is used first. CVP monitoring and vasopressor therapy are started if hypotension persists.

Nursing

You might also like to view...

A patient asks the nurse to pray with him. The nurse is an atheist and uncomfortable with this request. What action by the nurse is best?

a. Deny the request because of atheistic beliefs. b. Offer to call the chaplain instead. c. Agree to sit with the patient while he prays. d. Ask the patient if he will meditate instead.

Nursing

Empowerment for nurses may consist of three components. Which of the following three components may help nurses become empowered to use their power for better patient care (select three that apply)?

a. A psychological belief in one's own ability to be empowered b. A social relationship between two or more people c. A workplace that promotes empowerment d. An acknowledgement that there is power in the relationships and caring that nurses provide e. Interdependence of personnel

Nursing

An example of a situational change trigger is

A. A man learning he is a father. B. A woman diagnosed with cancer. C. A nurse learning to use a new computerized charting system. D. A nursing manager promoted to assistant chief nursing officer.

Nursing

Persons with diabetes are at very high risk for skin breakdown.

Answer the following statement true (T) or false (F)

Nursing