The nurse is identifying interventions to prevent the development of sepsis in an older patient because:
1. Mortality rates from sepsis are 70% worldwide.
2. If managed early and aggressively, the majority of patients with sepsis may be managed outside of the ICU environment.
3. The guidelines provided by the Surviving Sepsis Campaign are expected to decrease the incidence of sepsis.
4. Sepsis rates rise sharply with age.
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Rationale 1: Current mortality rates for sepsis are estimated to range between 23% to 46% depending on the patient's age, underlying condition, and site of infection.
Rationale 2: Seventy percent of patients with sepsis are managed in the ICU or other specialty critical care area.
Rationale 3: The Surviving Sepsis program aims to increase awareness, understanding, and knowledge; change perceptions and behavior; increase the pace of change in patterns of care; influence public policy; define standards of care in severe sepsis; and reduce the mortality associated with sepsis.
Rationale 4: Because sepsis affects the elderly disproportionately, more than half of all annual costs in the United States—$8.7 billion—were spent on care of septic patients 65 years or older.
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A patient with type 2 diabetes presents at the clinic for a routine follow-up appointment. The patient asks the nurse whether she can take the herbal supplement ginseng. What is the correct response by the nurse?
A) "It increases the risk for high blood glucose levels." B) "It increases the risk for low blood glucose levels." C) "There is no research to indicate what effect it will have." D) "There is no reason ginseng cannot be taken by people with diabetes."
An older female patient asks the home care nurse what can be done to help with painful intercourse. What recommendations should the nurse make to the patient? Standard Text: Select all that apply
1. Avoid intercourse. 2. Decrease the frequency of intercourse. 3. Use vaginal lubricants during intercourse. 4. Use the hand to guide the penis into the vagina. 5. Tolerate the problem because it is a normal part of aging.
Normal changes during pregnancy that affect the heart and peripheral vasculature include
a. increase in cardiac output primarily resulting from an increase in plasma levels. b. increase in heart rate by 30–35 beats per minute. c. lower diastolic pressure in the third trimester. d. supine hypertension.
Convert 4,800 minutes to an equivalent amount in days
1. 3? days 2. 21 days 3. 200 days 4. ½ day