SEPSIS DYNAMIC STUDY MODULE QUESTIONS WITH
DETAILED VERIFIED AND 100% ACCURATE ANSWERS
The nurse is increasing the rate of delivery for intravenous fluid to a
patient with sepsis. The family member asks the nurse why the fluids are
infusing at a fast rate.
Which response by the nurse is appropriate? Correct Answers "IV fluids
are given in this way to keep the blood pressure up and maintain kidney
function."
Explain why large volumes of IV fluids are used to treat Sepsis...
Correct Answers Intravenous fluids are administered to patients with
sepsis to maintain circulating blood volume and prevent dehydration.
Patients with sepsis have higher fluid needs due to losses from fluid
shifts out of the vascular compartment into the interstitial spaces.
Intravenous fluids with dextrose provide minimal calories and are not a
source of nutrition for sick patients. The nurse would not contact the
primary healthcare provider because the nurse would be able to answer
the patient.
The nurse is teaching a group of women how to prevent sepsis during
pregnancy.
Which participant response indicates learning? Correct Answers "I will
follow guidelines for routine prenatal care."
Rationale: The best way that a pregnant patient can prevent sepsis is to
obtain good prenatal care. Lamaze classes facilitate an easier birth. Hand
sanitizer is not necessary after proper hand hygiene. The pneumococcal
vaccine helps an older adult prevent sepsis, not the pregnant patient.
,The nurse is planning a presentation about risk factors of developing
sepsis.
Which statement should the nurse include? Correct Answers "Patients
with a weakened immune system are at highest risk of developing
sepsis."
Rationale: Patients at highest risk for sepsis include older adult patients,
those who have poor nutrition, and those who are immunocompromised.
Therefore, the patient with a weakened immune system is at highest risk.
Patients being treated with antibiotics are not at an increased risk for
sepsis. Patients with malnutrition, not those who are overweight, are at
higher risk for sepsis. Clinical manifestations of sepsis include
hyperthermia or hypothermia; however, temperature changes do not
cause sepsis.
Risk factors for sepsis include: Correct Answers Being an older adult.
Being immunocompromised.
Malnutrition.
Infection.
Surgery or invasive procedures.
Tampon use.
The nurse is assessing a premature infant who has sepsis.
Which finding indicates that the condition has become worse? Correct
Answers Weak peripheral pulses
, When the heart rate increases (tachycardia) and the peripheral pulses
become weaker with delayed capillary refill, it indicates worsening of
the sepsis. This happens as a result of capillary leakage and the heart
pumping faster to circulate the decreased intravascular volume (cold
shock). Early signs of sepsis in the infant are vomiting, jaundice, and
abdominal distention.
The shift handoff report states that a patient with sepsis has been restless
and anxious.
Which new clinical finding indicates that the patient's condition is
deteriorating? Correct Answers Lethargy and becoming comatose
In the previous shift, the nurse determines that the patient is anxious and
restless, which are early signs of a change in level of consciousness. The
finding that determines the condition has worsened is the onset of
lethargy and becoming comatose. Urinary output of 30 mL/hr is the
normal bare minimum. Oxygen saturation of 90% is the low end of
normal. Capillary refill of 3 seconds is normal.
Clinical manifestations of late (cold) septic shock include: Correct
Answers Blood pressure: hypotension.
Pulse: tachycardia, arrhythmias.
Respirations: rapid, shallow, dyspneic.
Skin: cool, pale, edematous.
Mental status: lethargic to comatose.
Urine output: oliguria to anuria.
DETAILED VERIFIED AND 100% ACCURATE ANSWERS
The nurse is increasing the rate of delivery for intravenous fluid to a
patient with sepsis. The family member asks the nurse why the fluids are
infusing at a fast rate.
Which response by the nurse is appropriate? Correct Answers "IV fluids
are given in this way to keep the blood pressure up and maintain kidney
function."
Explain why large volumes of IV fluids are used to treat Sepsis...
Correct Answers Intravenous fluids are administered to patients with
sepsis to maintain circulating blood volume and prevent dehydration.
Patients with sepsis have higher fluid needs due to losses from fluid
shifts out of the vascular compartment into the interstitial spaces.
Intravenous fluids with dextrose provide minimal calories and are not a
source of nutrition for sick patients. The nurse would not contact the
primary healthcare provider because the nurse would be able to answer
the patient.
The nurse is teaching a group of women how to prevent sepsis during
pregnancy.
Which participant response indicates learning? Correct Answers "I will
follow guidelines for routine prenatal care."
Rationale: The best way that a pregnant patient can prevent sepsis is to
obtain good prenatal care. Lamaze classes facilitate an easier birth. Hand
sanitizer is not necessary after proper hand hygiene. The pneumococcal
vaccine helps an older adult prevent sepsis, not the pregnant patient.
,The nurse is planning a presentation about risk factors of developing
sepsis.
Which statement should the nurse include? Correct Answers "Patients
with a weakened immune system are at highest risk of developing
sepsis."
Rationale: Patients at highest risk for sepsis include older adult patients,
those who have poor nutrition, and those who are immunocompromised.
Therefore, the patient with a weakened immune system is at highest risk.
Patients being treated with antibiotics are not at an increased risk for
sepsis. Patients with malnutrition, not those who are overweight, are at
higher risk for sepsis. Clinical manifestations of sepsis include
hyperthermia or hypothermia; however, temperature changes do not
cause sepsis.
Risk factors for sepsis include: Correct Answers Being an older adult.
Being immunocompromised.
Malnutrition.
Infection.
Surgery or invasive procedures.
Tampon use.
The nurse is assessing a premature infant who has sepsis.
Which finding indicates that the condition has become worse? Correct
Answers Weak peripheral pulses
, When the heart rate increases (tachycardia) and the peripheral pulses
become weaker with delayed capillary refill, it indicates worsening of
the sepsis. This happens as a result of capillary leakage and the heart
pumping faster to circulate the decreased intravascular volume (cold
shock). Early signs of sepsis in the infant are vomiting, jaundice, and
abdominal distention.
The shift handoff report states that a patient with sepsis has been restless
and anxious.
Which new clinical finding indicates that the patient's condition is
deteriorating? Correct Answers Lethargy and becoming comatose
In the previous shift, the nurse determines that the patient is anxious and
restless, which are early signs of a change in level of consciousness. The
finding that determines the condition has worsened is the onset of
lethargy and becoming comatose. Urinary output of 30 mL/hr is the
normal bare minimum. Oxygen saturation of 90% is the low end of
normal. Capillary refill of 3 seconds is normal.
Clinical manifestations of late (cold) septic shock include: Correct
Answers Blood pressure: hypotension.
Pulse: tachycardia, arrhythmias.
Respirations: rapid, shallow, dyspneic.
Skin: cool, pale, edematous.
Mental status: lethargic to comatose.
Urine output: oliguria to anuria.
