A 30-year-old female patient is admitted to the emergency department with two systemic inflammatory response syndrome variables: temperature of 100.2°F (35°C) and high blood sugar. Which intervention from the sepsis resuscitation bundle does the nurse initiate?

Cooling baths

Blood transfusion

30 ml/kg of Lactated Ringers (LR)

NPO Status

Answer and Explanation

The Correct Answer is C

The sepsis resuscitation bundle typically includes the administration of intravenous fluids to restore adequate perfusion and address hypovolemia. The initial fluid of choice is often the crystalloid solution, such as Lactated Ringers (LR), and the recommended initial fluid bolus is 30 ml/kg. This intervention aims to optimize intravascular volume and improve tissue perfusion.

A. Cooling baths in (option A) is incorrect because they may be used in the management of hyperthermia or fever, but they are not specific interventions in the sepsis resuscitation bundle.

B. Blood transfusion in (option B) is incorrect it may be necessary in certain cases of sepsis, such as severe anemia or hypovolemia, but it is not a routine intervention in the sepsis resuscitation bundle based solely on the provided information.

D. NPO status (nothing by mouth) in (option D) is incorrect because it is not a specific intervention in the sepsis resuscitation bundle. It may be indicated in certain cases, such as when surgery is required or if there is a risk of aspiration, but it does not directly address the sepsis-related variables mentioned.

It is important to note that the specific management of sepsis may vary based on the patient's individual condition, clinical presentation, and healthcare provider's orders.

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Correct Answer is C

Explanation

Hypovolemic shock is a life-threatening condition resulting from severe blood or fluid loss. The patient in this scenario exhibits signs of hypovolemic shock, such as low blood pressure, tachycardia, cool and clammy skin, and decreased urine output.
When assessing the prescription options, the nurse should consider the appropriateness of each intervention for hypovolemic shock. Plasmanate is a type of plasma protein fraction that is used for volume expansion in certain situations. However, in hypovolemic shock, the primary intervention is to restore intravascular volume promptly. Plasmanate alone may not be sufficient for rapid-volume resuscitation.
In hypovolemic shock, the initial management typically involves the administration of crystalloid solutions, such as Lactated Ringers or Normal Saline, to restore intravascular volume. Therefore, the prescription of Plasmanate as the primary intervention raises concerns and should be questioned by the nurse.
A. Dopamine (Intropin) 12 mcg/min in (option A) is incorrect because: Dopamine is a vasopressor medication used to increase blood pressure and cardiac output. It is a suitable option for hypovolemic shock to support blood pressure and tissue perfusion.
B. Dobutamine (Dobutrex) 5 mcg/kg/min in (option B) is incorrect because: Dobutamine is an inotropic medication that helps improve cardiac contractility and cardiac output. It can be beneficial in cases of hypovolemic shock with signs of poor cardiac function.
D. Bumetanide (Bumex) 1 mg IV in (option D) is incorrect because: Bumetanide is a loop diuretic used to promote diuresis. However, in the context of hypovolemic shock, diuretics are generally not the first-line treatment as they can further reduce intravascular volume and worsen the patient's condition.
It is essential for the nurse to consult with the healthcare provider regarding the prescription order of Plasmanate and consider alternative interventions for rapid volume resuscitation in hypovolemic shock.

A. Diarrhea B. Vomiting C. Lower GI bleed D. Tension pneumothorax E. Diabetes insipidus F. Valvular stenosis

Correct Answer is ["A","B","C","D"]

Explanation

These conditions can lead to fluid loss, either through increased gastrointestinal output (diarrhea, vomiting, lower GI bleeding) or accumulation of air in the pleural space (tension pneumothorax), resulting in a decrease in blood volume and subsequent hypovolemic shock.
E. Diabetes insipidus in (option E) is incorrect because it is not directly associated with hypovolemic shock. Diabetes insipidus is a condition characterized by excessive thirst and the production of large volumes of dilute urine due to insufficient production or response to antidiuretic hormone (ADH). While diabetes insipidus can lead to dehydration and potential hypovolemia, it is not a direct cause of hypovolemic shock.
F. Valvular stenosis in (option F) is incorrect because it is a condition characterized by the narrowing or obstruction of one or more heart valves. While it can cause problems with cardiac output and circulation, it is not specifically related to hypovolemic shock, which is caused by a decrease in blood volume.
Therefore, the conditions that can cause hypovolemic shock include diarrhea, vomiting, lower GI bleeding, and tension pneumothorax.

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A 30-year-old female patient is admitted to the emergency department with two systemic inflammatory response syndrome variables: temperature of 100.2°F (35°C) and high blood sugar. Which intervention from the sepsis resuscitation bundle does the nurse initiate?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Which conditions can cause hypovolemic shock? Select all that apply.

Correct Answer is ["A","B","C","D"]

Explanation

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