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The nurse is caring for a patient who has septic shock.Which assessment finding is
u u u u u u u u u u u u u u
most
u
important for the nurse to report to the health u u u u u u u u
care provider?Select one:
u u u u
a. Skin cool and clammy u u u
Because patients in the early stage of septic shock have warm and dry skin,
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the patient's cool and clammy skin indicates that shock is progressing. The
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other information will also be reported, but does not indicate deterioration of
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the patient's status.
u u u
b. Oxygen saturation 93% u u
c. Blood pressure (BP) 92/56 mm Hg u u u u u
d. Heart rate 118 beats/minute u u u
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The correct answer is: Skin cool and clammy
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NURSING 496A Exam 2 Medsurg 3 Questions and
Answers Best Rated A+ guaranteed success New
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,NURSING 496A Exam 2 Medsurg 3 Questions and
Answers Best Rated A+ guaranteed success New
Update 2022/2023
The following interventions are ordered by the health care provider for a
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patient who has respiratory distress and syncope after eating strawberries.Which
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will the nurse complete first?Select one:
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a. Start a normal saline infusion.
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b. Give diphenhydramine (Benadryl).
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c. Start continuous ECG monitoring.
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d. Give epinephrine (Adrenalin).
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Epinephrine rapidlycauses peripheral vasoconstriction, dilates the bronchi, and
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blocks the effectsof histamine and reverses the vasodilation, bronchoconstriction,
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and histamine release that cause the symptoms of anaphylaxis. The other
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interventions are also appropriate but would not be the first ones completed.
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NURSING 496A Exam 2 Medsurg 3 Questions and
Answers Best Rated A+ guaranteed success New
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,NURSING 496A Exam 2 Medsurg 3 Questions and
Answers Best Rated A+ guaranteed success New
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The correct answer is: Give epinephrine (Adrenalin).
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Question text u
After reviewing the information shown in the accompanying figure for a patient
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with pneumoniaand sepsis, which information is most important to report to the
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health care provider?
u u u
Select one: u
a. Oxygen saturation and breath sounds u u u u
b. Blood pressure, pulse rate, respiratory rate.
u u u u u
c. TemperatureandIVsiteappearance u u u u
d. Platelet count and presence of petechiae u u u u u
The low platelet count and presence of petechiae suggest that the patient may
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have disseminatedintravascular coagulation and that multiple organ dysfunction
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syndrome (MODS) is developing.The other information will also be discussed
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with the health care provider but does not indicate that the patient's condition
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is deteriorating or that a change in therapy is needed immediately.
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NURSING 496A Exam 2 Medsurg 3 Questions and
Answers Best Rated A+ guaranteed success New
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, NURSING 496A Exam 2 Medsurg 3 Questions and
Answers Best Rated A+ guaranteed success New
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The correct answer is: Platelet count and presence of petechiae
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NURSING 496A Exam 2 Medsurg 3 Questions and
Answers Best Rated A+ guaranteed success New
Update 2022/2023