A critically ill patient with sepsis meets the criteria for the administration of activated protein C (drotrecogin alfa [activated], marketed as Xigris). What is the most important effect of Xigris?
A) It improves tissue oxygenation and capillary bed perfusion.
B) It improves nutritional balance through protein supplementation.
C) It reduces the direct cost of critical care support and management.
D) It directly reduces the number of microbes and toxins responsible for sepsis.
A
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The nurse is working with a rehabilitation patient who has a deficit in mobility following a skiing accident. The nurse knows that preparation for ambulation is extremely important
What nursing action will best provide the foundation of preparation for ambulation? A) Stimulating the patient's desire to ambulate B) Assessing the patient's understanding of ambulation C) Helping the patient perform frequent exercise D) Setting realistic expectations
The nurse is providing discharge education to a patient diagnosed with HF. What should the nurse teach this patient to do to assess her fluid balance in the home setting?
A) Monitor her blood pressure daily B) Assess her radial pulses daily C) Monitor her weight daily D) Monitor her bowel movements
The nurse is performing an assessment of a patient's musculoskeletal system and is appraising the patient's bone integrity. What action should the nurse perform during this phase of assessment?
A) Compare parts of the body symmetrically. B) Assess extremities when in motion rather than at rest. C) Percuss as many joints as are accessible. D) Administer analgesia 30 to 60 minutes before assessment.
A patient nearing the end of life requests that he be given no food or fluids. The physician orders the insertion of a nasogastric tube to feed the patient. What situation does this create for the nurse providing care?
A) nurse must follow the physician's orders B) an inability to provide care for the patient C) an ethical dilemma about inconsistent courses of action D) a barrier to establishing an effective nurse–patient relationship