The nurse is caring for a patient with general sepsis. Which finding should first alert the nurse to a potential complication that warrants immediate attention?
a. Increased lethargy
b. Sudden coughing
c. Elevated blood pressure
d. Cloudy urine
A
Increasing lethargy is an indicator of impending septic shock. Coughing and cloudy urine are not signs of impending septic shock. Decreased rather than increased blood pressure would indicate impending septic shock.
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A nurse was creating an ecomap for a family, which consisted of a 3-year-old girl, an 8-year-old boy, and their mother. Which of the following questions would be useful for the nurse to ask?
a. "Are you involved with any groups or resources in the community?" b. "Can you tell me about your extended family wherever they live?" c. "Have you thought about what would happen if you needed help?" d. "What were the causes of death for your older family members?"
There are only four known body fluids through which HIV is transmitted
Indicate whether the statement is true or false
The nurse administers blood to the client and observes that the client has tachycardia, chills, and lower back pain. Which should the nurse implement first?
1. Notify the provider. 2. Notify the blood bank. 3. Complete the vital signs. 4. Remove the IV tubing.
HIV is spread in which of the following ways?
a. Having protected sex b. Sharing needles and syringes c. Drinking after one another d. Sharing swimming pools and hot tubs