The client has all the following clinical manifestations. Which one alerts the nurse to the probability of septic shock?
A. Hypotension
B. Pale, clammy skin
C. Anxiety and confusion
D. Oozing of blood at the IV site
D
The late phase of sepsis-induced distributive shock is characterized by most of the same cardi-ovascular manifestations as any other type of shock. The distinguishing feature is the lack of ability to clot blood, causing the client to bleed from areas of minor trauma and to bleed sponta-neously.
You might also like to view...
The client is experiencing an episode of anxiety. The nurse will expect to observe which common coping behaviors? Standard Text: Select all that apply
1. Problem solving 2. Indulgence 3. Somatization 4. Acting out 5. Withdrawal
When assessing a newborn immediately after birth, which concept should the nurse keep in mind?
A) Pulmonary pressures rise. B) Left atrial pressure rises. C) Right atrial pressure rises. D) Systemic vascular resistance falls.
A new father states, "I know nothing about babies," but he seems to be interested in learning. The nurse should take which action?
a. Include him in teaching sessions. b. Tell him when he does something wrong. c. Show no concern because he will learn on his own. d. Continue to observe his interaction with the newborn.
An adolescent patient comes to the clinic and reports anxiety and poor sleep that have persisted since experiencing a hurricane 8 months prior. The patient has been receiving cognitive-behavioral therapy, which has helped a little
The primary care NP should order: a. doxepin. b. fluoxetine. c. alprazolam. d. clonazepam.