Exam 18: Care of the Patient With Sepsis

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The nurse plans to complete a Sequential Organ Failure Assessment (SOFA) for a patient with suspected sepsis. What data should the nurse use for this assessment? Select all that apply.

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A,B,C,E

A patient with severe sepsis develops disseminating intravascular coagulation (DIC). Which treatment should the nurse prepare to administer to this patient? Select all that apply.

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A,C,D,E

Which evidence-based intervention should the nurse use to prevent pneumonia in the patient receiving mechanical ventilation?

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B

Which assessment finding should cause a nurse to be concerned that a patient is developing severe sepsis? Select all that apply.

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Which phrase should the nurse use to explain why serum lactate is elevated in a patient with sepsis?

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The goal of antibiotic therapy in a patient with sepsis is to narrow the therapy to one narrow-spectrum antibiotic. What purpose does this goal serve in the patient's care to aid in the prevention of antibiotic resistance?

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A patient with sepsis is experiencing an elevated temperature. Which medication should the nurse prepare to administer to this patient? Select all that apply.

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The nurse assesses a patient for severe sepsis. Which finding indicates that the patient is developing this health problem?

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The nurse has standing orders to implement the sepsis management bundle in a patient with severe sepsis. Which intervention should the nurse prepare to administer? Select all that apply.

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The nurse prepares an infusion of norepinephrine for a patient in severe septic shock. Why is this medication being used for the patient? Select all that apply.

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A patient with sepsis is intubated for mechanical ventilation. What should the nurse include in this patient's plan of care? Select all that apply.

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The nurse assesses a patient for septic shock. Which statement best describes this health problem?

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Which statement best describes the pathophysiology of multiple organ dysfunction syndrome (MODS) in a patient with sepsis?

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A patient receives a fluid challenge as part of care for sepsis. Which outcome indicates that the challenge was successful? Select all that apply.

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A patient in the intensive care unit has been diagnosed with systemic inflammatory response syndrome (SIRS). What additional finding indicates that the patient is becoming septic? Select all that apply.

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What should the nurse realize when meeting the nutritional needs of a patient experiencing sepsis?

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What should the nurse include in the management plan for a patient with sepsis?

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Which hemodynamic parameters should the nurse expect to see in the patient with septic shock?

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The nurse manager learns of an increase in the number of catheter-associated urinary tract infections (CAUTI) in the intensive care area. What action should be taken to help reduce the incidence of these infections going forward? Select all that apply.

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Why should the nurse identify interventions to prevent the development of sepsis in an older patient?

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