NCLEX Comprehensive Study Guide Already Graded A+
The nurse provides care for a client diagnosed with pneumonia. The client has a history of type 2 diabetes. The client is an older adult and is malnourished. For which type of shock does the nurse monitor the client? 1. Anaphylactic 2. Cardiogenic 3. Septic 4. Neurogenic Septic - Older adults with chronic diseases who are malnourished or debilitated are at great risk for septic shock. Think like a nurse: The nurse will apply knowledge of anatomy and physiology regarding the normal function of the respiratory system. Next, using knowledge of pathophysiology, the nurse will consider the impact pneumonia has on respiratory function. The nurse knows that pneumonia can lead to sepsis and septic shock in vulnerable clients, such as the client in this scenario. Once sepsis is identified, the nurse anticipates giving antibiotics (after all appropriate cultures are collected), monitoring the client's hemodynamic status, and implementing the sepsis bundle (e.g., lactic acid monitoring, fluid replacement, and vasopressor).
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