A nurse is assessing a 56-year-old tuberculosis (TB) patient who has a fever, heart rate (HR) of 110, and urine output of 25 cc/hr

Hypoxemia is noted on the ABG analysis. Which potential complication is this patient exhibiting related to his infectious disease?
A) Bacteremia
B) Dehydration
C) Endocarditis
D) Septic shock


Ans: D
Feedback: The nurse should be alert to signs of septic shock, which include fever, tachycardia, change in mental status, hypoxemia, and low urine output.

Nursing

You might also like to view...

A nurse is aware of the vital role that hormones and the negative feedback mechanism play in the maintenance of homeostasis. Which of the following statements best describes the negative feedback mechanism that controls insulin secretion?

A) Insulin is synthesized and released in an inversely proportionate quantity to glucagon. B) Serum levels of insulin are constantly secreted unless such secretion is actively inhibited. C) High concentrations of insulin in the blood inhibit further insulin secretion. D) Serum levels of insulin are maintained at the lowest possible level.

Nursing

A nurse is applying a warm moist compress to a client. What is an appropriate nursing intervention to retain the heat of the compress?

A) Cover the pack with a light material. B) Apply an Aqua-K pad over the pack. C) Tape the pack to the body with dry gauze. D) Cover the pack with a moist material.

Nursing

The nurse is asked by a pregnant patient about the benefits of a breastfeeding class. The nurse's best response is that the programs offer: Note: Credit will be given only if all correct and no incorrect choices are selected

Select all that apply. 1. La Leche League's Web site. 2. Practical instruction. 3. Resources. 4. Encouragment. 5. Support for 1 month.

Nursing

Which physiologic difference affects the absorption of oral medications administered to a 3-month-old infant?

a. More rapid peristaltic activity b. More acidic gastric secretions c. Usually more rapid gastric emptying d. Variable pancreatic enzyme activity

Nursing