The nurse is caring for a client who has developed septic shock related to cancer chemotherapy. The nurse recognizes changes in mental status most likely result from:
1. Decreased tissue oxygenation.
2. Metastasis of underlying cancer.
3. Anxiety about and fear of death.
4. A result of chemotherapy.
Decreased tissue oxygenation.
Rationale: Clients at risk for septic shock include those who are immunosuppressed, have invasive technology, or infections. Metastasis to the brain may cause confusion, but not sepsis. Anxiety and fear may lead to confusion, but not sepsis. "Chemo brain" has been documented as a cause of confusion, but not sepsis.
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A) Segmental reflex B) Posture C) Proprioception D) Crossed-extensor reflex
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A patient has had three pregnancies and two live births. The nurse would record this information as gravida _____, para _____, AB _____.
A) 2; 2; 1 B) 3; 2; 0 C) 3; 2; 1 D) 3; 3; 1
The nursing assistant must balance infection control concerns with the patients' emotional needs for love, belonging, and acceptance.
Answer the following statement true (T) or false (F)