The nurse is preparing an educational session on sepsis. Which should the nurse include as a major risk factor for the development of this health problem?

A) Pneumococcal bacteria
B) Leukocytosis on the complete blood count
C) Undiagnosed urinary tract infection
D) Elevated temperature


Answer: C

Sepsis is an entire-body inflammatory process. Sepsis is most often the result of gram-positive infections from Staphylococcus and Streptococcus bacteria but may also follow gram-negative bacterial infections such as Pseudomonas, Escherichia coli, and Klebsiella. A portal of entry for sepsis is the urinary system. Leukocytosis occurs with sepsis if the client is able to mount an immune response. An elevated temperature is a manifestation of sepsis.

Nursing

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A client is diagnosed with an arrhythmia that involves irregular and rapid atrial contraction and an irregular and inefficient ventricular contraction. The nurse interprets this arrhythmia as which of the following?

A) Atrial flutter B) Atrial fibrillation C) Ventricular tachycardia D) Ventricular fibrillation

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Which client statement demonstrates the greatest readiness for smoking or alcohol cessation?

a. "I will cut down my smoking and drinking, but I won't stop completely." b. "I don't know why everyone thinks my smoking and drinking are a problem." c. "I need help in dealing with my addiction to smoking and drinking." d. "I will quit when my smoking and drinking really affect my life."

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A 10-year-old is diagnosed with obstructive sleep apnea. When the parents ask, the nurse shares that the initial treatment will be:

a. tonsillectomy and adenoidectomy (T&A). b. weight loss. c. continuous positive airway pressure. d. drug therapy.

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Frequent position changes

A. prevent deformities and skin breakdown. B. are not necessary in young adults. C. prevent constipation and infection. D. prevent edema, petechiae, and distention.

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