Which statement will the nurse use to explain why serum lactate is elevated in a patient with sepsis? It is caused by:

1. Increased systemic inflammation
2. The endogenous by-products of bacterial contamination
3. Anaerobic cellular metabolism
4. Greatly accelerated coagulation


3
Rationale 1: This is not related to the elevation of serum lactate in sepsis.
Rationale 2: This is not related to the elevation of serum lactate in sepsis.
Rationale 3: Lactic acid is produced as a by-product of anaerobic cellular metabolism.
Rationale 4: This is not related to the elevation of serum lactate in sepsis.

Nursing

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When compared with a drug having a therapeutic index of 20, a drug with a therapeutic index of 2 would be considered which of the following with regard to the margin of safety?

A. no different B. less safe C. safer D. less potent

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During the preoperational period the nurse recognizes that children

a. ask numerous questions to clarify a message. b. can process auditory information quickly. c. can clearly distinguish between fantasy and reality. d. misunderstand messages quite easily.

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Which physical assessment technique would be used to determine AP:lateral ratio?

A) Inspection B) Palpation C) Percussion D) Auscultation

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In research, the probability that any data score will be within a certain range of a mean value is calculated based on the theory of

a. frequency. b. inference. c. levels of significance. d. the normal curve.

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