A nurse is assessing a client who has septic shock. The nurse notes that the client has a blood pressure of 80/50 mmHg, a heart rate of 120 beats per minute, a respiratory rate of 28 breaths per minute, and a temperature of 39°C.
The nurse calculates that the client has a Sequential Organ Failure Assessment (SOFA) score of what value?
1
4
6
8
Provide supplemental oxygen as needed
The Correct Answer is A
The SOFA score is a tool that assesses the degree of organ dysfunction or failure in septic shock. It is based on six parameters: blood pressure, Glasgow coma scale, PaO2/FiO2 ratio, platelet count, bilirubin level, and creatinine level. Each parameter is assigned a score from 0 to 4 based on the severity of the abnormality. The total SOFA score ranges from 0 to 24, with higher scores indicating worse organ dysfunction or failure.
The client's blood pressure of 80/50 mmHg corresponds to a SOFA score of 1, as it indicates hypotension.
The client's Glasgow coma scale is not given, so it is assumed to be normal (15), which corresponds to a SOFA score of 0.
The client's PaO2/FiO2 ratio is not given, so it is assumed to be normal (>400), which corresponds to a SOFA score of 0.
The client's platelet count is not given, so it is assumed to be normal (>150 x 10^9/L), which corresponds to a SOFA score of 0.
The client's bilirubin level is not given, so it is assumed to be normal (<20 micromol/L), which corresponds to a SOFA score of 0.
The client's creatinine level is not given, so it is assumed to be normal (<110 micromol/L), which corresponds to a SOFA score of 0.
The total SOFA score is the sum of the scores for each parameter: 1 + 0 + 0 + 0 + 0 + 0 = 1. Therefore, the client has a SOFA score of 1.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Choice A reason:
This is a correct answer because healing of ulcers is an expected outcome of PPI therapy for PUD, as it occurs when the acid-induced damage to the mucosa is repaired and the ulcer is closed.
Choice B reason:
This is a correct answer because relief of pain is an expected outcome of PPI therapy for PUD, as it occurs when the acid-induced irritation and inflammation of the mucosa and the nerve endings are reduced.
Choice C reason:
This is an incorrect answer because eradication of H. pylori is not an expected outcome of PPI therapy for PUD, as it requires a combination of antibiotics and bismuth compounds to kill the bacteria and prevent its recurrence.
Choice D reason:
This is a correct answer because prevention of bleeding is an expected outcome of PPI therapy for PUD, as it occurs when the acid-induced erosion and perforation of the mucosa and the blood vessels are prevented.
Choice E reason:
This is a correct answer because reduction of inflammation is an expected outcome of PPI therapy for PUD, as it occurs when the acid-induced activation of inflammatory mediators and immune cells are inhibited.
Correct Answer is C
Explanation
Choice A reason:
Bacteria are microorganisms that have a cell wall composed of peptidoglycan and a cell membrane composed of phospholipids. They can be classified by their shape (cocci or bacilli), their Gram stain (positive or negative), or their oxygen requirement (aerobic or anaerobic).
Choice B reason:
Viruses are microorganisms that have a nucleic acid core (DNA or RNA) surrounded by a protein coat (capsid) and sometimes an envelope derived from the host cell membrane. They can only replicate inside living cells and cause various diseases such as influenza, herpes, hepatitis, or AIDS.
Choice C reason:
Fungi are microorganisms that have a cell wall composed of chitin and a cell membrane composed of ergosterol. They can exist as yeasts or molds depending on the environmental conditions. Candida albicans is an example of fungi that can cause infections such as thrush, vaginitis, or systemic candidiasis.
Choice D reason:
Parasites are microorganisms that live on or in another organism (host) and derive nutrients from it. They can be classified by their size (protozoa or helminths) or their mode of transmission (vector-borne or direct contact). They can cause infections such as malaria, giardiasis, or schistosomiasis.
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