The nurse is caring for a patient admitted with severe sepsis
Vital signs assessed by the nurse include blood pressure 80/50 mm Hg, heart rate 120 beats/min, respirations 28 breaths/min, oral temperature of 102° F, and a right atrial pressure (RAP) of 1 mm Hg. Assuming physician orders, which intervention should the nurse carry out first? a. Acetaminophen suppository
b. Blood cultures from two sites
c. IV antibiotic administration
d. Isotonic fluid challenge
D
Early goal-directed therapy in severe sepsis includes administration of IV fluids to keep RAP/CVP at 8 mm Hg or greater (but not greater than 15 mm Hg) and heart rate less than 110 beats/min. Fluid resuscitation to restore perfusion is the immediate priority. Broad-spectrum antibiotics are recommended within the first hour; however, volume resuscitation is the priority in this scenario.
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The child-rearing practices of adults
1. are standardized. 2. vary considerably. 3. are established early in life. 4. depend on the parent's financial status.
The nurse is assessing parental knowledge of temper tantrums. Which are true statements about temper tantrums? Select all that apply
a. Temper tantrums are a common response to anger and frustration in toddlers. b. Temper tantrums often include screaming, kicking, throwing things, and head banging. c. Parents can effectively manage temper tantrums by giving in to the child's demands. d. Children having temper tantrums should be safely isolated and ignored. e. Parents can learn to anticipate times when tantrums are more likely to occur.
A researcher conducts a quasi-experimental study to determine whether there is improved weight gain among premature infants who are fed according to cue-based protocols. The researcher trained neonatal intensive care nurses to apply cue-based feeding to orally fed infants and notes a statistical difference in weight gain between infants fed according to cue-based protocols and those fed according to standard protocols. Which might be a threat to internal validity in this study?
a. The concept of cue-based feeding is not well defined. b. The study sample is homogeneous. c. Some infants developed gastroenteritis. d. Not all nurses received cue-based protocol education.
An organized system of health care delivery that, for a fixed fee, provides primary care services, emergency and preventive treatment, and hospital care is called
1. Preferred provider organization 2. Community center 3. Health maintenance organization 4. Point-of-service provider