A patient has sepsis and is placed on broad-spectrum antibiotics. Her temperature is 37.8à‚ °C. Her BUN level is elevated. She continues on vasopressor therapy. What other steps should be taken to protect the patient from inadequate organ perfusion?
a. Increase net ultrafiltrate of fluid.
b. Discontinue vasopressor support.
c. Assess the patient for blood loss and hypotension.
d. Notify the physician of access pressures.
C
The patient should be assessed for blood loss or response to blood products and medications. The nurse should use ordered vasopressor support and decrease the net ultrafiltrate to zero.
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A nurse would administer disopyramide cautiously to a client with which condition? Select all that apply
A) Myasthenia gravis B) Diabetes C) Glaucoma D) Urinary retention E) Hypothyroidism
A client has recently been diagnosed with gonorrhea. The client comes from a deeply religious family. When the nurse finds the client weeping, the client tells the nurse, "I'm being punished for having an affair." How does the nurse respond?
a. "Surely you don't really believe that." b. "Why don't we get you a sedative?" c. "Tell me more about how you feel." d. "Which religion do you practice?"
Identify the primary distinction between nursing diagnosis and medical diagnosis
a. Nursing diagnosis is based on information gathered from the assessment of the client. b. Medical diagnosis identifies client care problems that affect the whole client. c. Nursing diagnosis identifies client prob-lems that nurses can treat independently. d. Medical diagnosis is vague and confusing.
Which of the following drugs is a derivatives of nitrosourea, yet works by inhibiting microtubule assembly?
A. Carmustine B. Vincristine C. Lomustine D. Estramustine