NUR 611 FINAL STUDY GUIDE: QUIZ
5-SEPSIS/CANCER
FirstalineatreatmentainaaapatientawithaBreastacanceraStageaIIIBa(oraStagea4)awithalocalas
preadawouldafirstabeawhichaofatheafollowing?
NeoadjuvantaChemotherapy
Surgery
Hormoneatherapy
Localaradiationatherapya(highafrequencyaexternalabeam)a-aans-
✔✔NeoadjuvantaChemotherapy
WhichaofatheafollowingaisaaarecommendationaforatheaFIRSTaHOURaOFaCAREainaaapati
entainasepsisa(spikingaaafeverawitha>2aSIRSacriteria)?
Administrationaofavasopressorsatoamaintainaperfusion.
Evaluationaofaadrenalaresponsivenessa(CorticolaStimulationaTesting).
Administrationaofaantibioticsaasasoonaasaculturesahaveabeenasent.
AdministrationaofaNa+aBicarbonateatoaaddressametabolicaacidosis.a-aans-
✔✔Administrationaofaantibioticsaasasoonaasaculturesahaveabeenasent.
YourapatientainaSepticashocka(Iauseatheatermacorrectly)aisareceivinga200mL/
hraofaNS,anorepinephrinea(Levophed)aata0.6mcgs/kg/
minutea(thisaisatheamaximumadose).aVasopressinaata.03U/
min.aHisaBPaisaaveraginga80/40.aWhichaofatheafollowingaordersawillayouaanticipateanext
?
RepeatingalactatealevelaSTAT.
StoppingatheaVasopressin.
Anaadditionalafluidabolusaofa1Laovera20aminutes.
Administrationaofahydrocortisone.a-aans-✔✔Administrationaofahydrocortisone.
Theaquickasofaascoreaincludesawhichaofatheafollowingaparameters?
5-SEPSIS/CANCER
FirstalineatreatmentainaaapatientawithaBreastacanceraStageaIIIBa(oraStagea4)awithalocalas
preadawouldafirstabeawhichaofatheafollowing?
NeoadjuvantaChemotherapy
Surgery
Hormoneatherapy
Localaradiationatherapya(highafrequencyaexternalabeam)a-aans-
✔✔NeoadjuvantaChemotherapy
WhichaofatheafollowingaisaaarecommendationaforatheaFIRSTaHOURaOFaCAREainaaapati
entainasepsisa(spikingaaafeverawitha>2aSIRSacriteria)?
Administrationaofavasopressorsatoamaintainaperfusion.
Evaluationaofaadrenalaresponsivenessa(CorticolaStimulationaTesting).
Administrationaofaantibioticsaasasoonaasaculturesahaveabeenasent.
AdministrationaofaNa+aBicarbonateatoaaddressametabolicaacidosis.a-aans-
✔✔Administrationaofaantibioticsaasasoonaasaculturesahaveabeenasent.
YourapatientainaSepticashocka(Iauseatheatermacorrectly)aisareceivinga200mL/
hraofaNS,anorepinephrinea(Levophed)aata0.6mcgs/kg/
minutea(thisaisatheamaximumadose).aVasopressinaata.03U/
min.aHisaBPaisaaveraginga80/40.aWhichaofatheafollowingaordersawillayouaanticipateanext
?
RepeatingalactatealevelaSTAT.
StoppingatheaVasopressin.
Anaadditionalafluidabolusaofa1Laovera20aminutes.
Administrationaofahydrocortisone.a-aans-✔✔Administrationaofahydrocortisone.
Theaquickasofaascoreaincludesawhichaofatheafollowingaparameters?