A patient being treated for a severe infection has a temperature of 35.8°C. Which additional finding would indicate to the nurse that initiation of treatment for sepsis is likely?
1. A shift to the left on the white blood cell differential
2. Heart rate 88
3. Respiratory rate 10
4. Acute alteration in mental status
Answer: 1
You might also like to view...
A client is having a cast applied for a fractured leg that extends from below the knee to the base of the toes. The foot is flexed at a right angle in a neutral position. What type of cast is the client having applied?
A) Short leg cast B) Long leg cast C) Walking cast D) Hip spica cast
A patient tells the nurse that he is surprised that he has hepatitis because he didn't "turn yellow" like his friend who had the illness. Which of the following should the nurse respond to this patient?
1. that's a good point; maybe you don't have hepatitis 2. not everyone who has hepatitis develops jaundice 3. are you sure that your friend had hepatitis? 4. jaundice comes about 6 weeks after the disease starts
A patient who received an intravenous (IV) dose of magnesium sulfate has developed diarrhea. What is the nurse's best response?
a. Reassure the patient that diarrhea is a common side effect of magnesium sulfate. b. Order a bedside commode so that the patient does not have to walk to the bath-room. c. Hold the drug and notify the prescriber. d. Document the finding as the only action.
MMSE stands for:
a. Minimum Mean Square Error. b. Mini-Mental State Exam. c. Medicare Medication Service Evaluation. d. Mini-Mental Senility Evaluation.