A nurse is admitting a new patient through the emergency room after collapsing at home. The patient's girlfriend states that he has been really sick the last few days and complained of feeling dizzy just before losing consciousness
The nurse takes the following vital signs: temperature of 38.7°C, pulse of 121 beats per minute, blood pressure of 87/52, and respiratory rate of 32 breaths per minute. The nurse observes that he is diaphoretic. After running a CBC, the white blood cell count is 14,532. After stabilizing him, the nurse calls the ICU to prepare them to treat which of the following?
A. Shock
B. Sepsis
C. DIC
D. Heart failure
ANS: B
You might also like to view...
The nurse conducting a pressure ulcer risk assessment on clients in a long-term care facility identifies which of the following as risk factors? Select all that apply. Standard Text: Select all that apply
1. Elevated temperature of 101°F 2. Decreased response to painful stimuli 3. Consumes a high-protein diet. 4. Drinks six glasses of water daily. 5. Walks occasionally for a short distance.
The nurse is creating program objectives to address a population's health problem. Which program objective should the nurse provide the planning committee?
1. 75% of program participants will lose weight. 2. 32% of program participants will demonstrate how to administer insulin by the end of the third week. 3. 100% of program participants will understand the new food pyramid by the end of the second week. 4. 50% of program participants will quit smoking.
The nurse is obtaining a focused head and neck interview on a client. Which should the nurse ask the client to assess their internal environment?
A. "Have you ever had irradiation to your neck?" B. "Have you been exposed to chemicals in the work place?" C. "Do you use any home remedies?" D. "Does anyone smoke in the home environment?"
Which is a potential serious adverse effect associated with mannitol (Osmitrol)?
a. Bradycardia b. Fluid overload c. Anaphylaxis d. Fever