According to standard definitions, which patient would the nurse describe as being in septic shock?
1. A patient with community-acquired pneumonia who has developed respiratory failure
2. A patient who has burns over 40% of the body and is febrile
3. A patient with an infection whose blood pressure is 84/52 after 4 liters of saline were administered intravenously
4. A patient with a WBC count of 22,000 and fever
3
Rationale 1: Because the patient's acute respiratory failure was caused by an infectious process, the definition of sepsis is not met.
Rationale 2: Burn injury with fever more closely meets the definition of systemic inflammatory response syndrome.
Rationale 3: Septic shock exists when acute circulatory failure and hypotension are refractory to fluid administration.
Rationale 4: A high WBC count and fever may be present in an uncomplicated infection.
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The nurse is caring for a client who is diagnosed with acute renal failure. When reviewing the client's laboratory data, which findings indicate that a client has met the expected outcomes?
Select all that apply. A) Decreasing serum creatinine B) Decreasing blood urea nitrogen (BUN) levels C) Decreasing neutrophil count D) Decreasing lymphocyte count E) Decreasing erythrocyte count
Home healthcare and home hospice care are two different types of home health services. What are the differences between these services? Choose all that apply
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The Human Genome Project (HGP) was begun in 1990 to
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Which of the following might the nurse assess in a patient diagnosed with hypermagnesemia?
A) Diminished deep tendon reflexes B) Tachycardia C) Cool clammy skin D) Increased serum magnesium