NR 464 ACTUAL FINAL PAPER 2025 QUESTIONS WITH
ANSWERS GUARANTEE A+
✔✔what are you looking for when detecting a patient early for an infection? -
✔✔respiratory rate
increase WBC
increased temperature
✔✔what is the patho for SIRS? - ✔✔inflammatory response to infection
trauma
burns
pancreatitis
✔✔what is the mortality rate for septic shock? - ✔✔as high as 50%
✔✔what is the primary causative organism of septic shock? - ✔✔gram negative and
gram positive bacteria
endotoxin stimulates inflammatory response
✔✔what are the clinical manifestations of septic shock? - ✔✔warm or hyper dynamic
state initially in most patients
increased CO and decreased SVR and bounding pulse
tachypnea
fever
decreased urine output
altered neuro status
GI disfunction
if progresses we enter into cold shock
DIC and respiratory failure are common complications
✔✔what is warm septic shock? - ✔✔fever
, low systolic BP
low diastolic BP
wide pulse pressure
skin flushed
anxious, confused
oliguria
tachypnea
✔✔what is cold septic shock? - ✔✔temp is subnormal
hypotension becomes worse
- may not be able to hear or assess
mottled, cyanotic
marked decrease in LOC
anuria
tachypnea, respiratory failure
✔✔what are the coagulation problems related to septic shock? - ✔✔↑ coagulation and
inflammation
↓ fibrinolysis
- Formation of micro thrombi
- Obstruction of microvasculature
May see Complication: Disseminated Intravascular Coagulation (DIC)
✔✔what are the paradoxical findings with DIC? - ✔✔increased clotting anywhere with
signs of decreased perfusion
signs of bleeding anywhere
✔✔what are the lab finding with DIC? - ✔✔increased PTT, PT, and INR
Thrombocytopenia
ANSWERS GUARANTEE A+
✔✔what are you looking for when detecting a patient early for an infection? -
✔✔respiratory rate
increase WBC
increased temperature
✔✔what is the patho for SIRS? - ✔✔inflammatory response to infection
trauma
burns
pancreatitis
✔✔what is the mortality rate for septic shock? - ✔✔as high as 50%
✔✔what is the primary causative organism of septic shock? - ✔✔gram negative and
gram positive bacteria
endotoxin stimulates inflammatory response
✔✔what are the clinical manifestations of septic shock? - ✔✔warm or hyper dynamic
state initially in most patients
increased CO and decreased SVR and bounding pulse
tachypnea
fever
decreased urine output
altered neuro status
GI disfunction
if progresses we enter into cold shock
DIC and respiratory failure are common complications
✔✔what is warm septic shock? - ✔✔fever
, low systolic BP
low diastolic BP
wide pulse pressure
skin flushed
anxious, confused
oliguria
tachypnea
✔✔what is cold septic shock? - ✔✔temp is subnormal
hypotension becomes worse
- may not be able to hear or assess
mottled, cyanotic
marked decrease in LOC
anuria
tachypnea, respiratory failure
✔✔what are the coagulation problems related to septic shock? - ✔✔↑ coagulation and
inflammation
↓ fibrinolysis
- Formation of micro thrombi
- Obstruction of microvasculature
May see Complication: Disseminated Intravascular Coagulation (DIC)
✔✔what are the paradoxical findings with DIC? - ✔✔increased clotting anywhere with
signs of decreased perfusion
signs of bleeding anywhere
✔✔what are the lab finding with DIC? - ✔✔increased PTT, PT, and INR
Thrombocytopenia
