A nurse is caring for a 73-year-old client in the emergency department (ED).
It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications.
Insert a nasogastric (NG) tube.
Measure lactate level.
Obtain a wound culture.
Administer broad-spectrum antibiotics.
Obtain blood cultures.
Type and cross-match for 2 units of packed RBCs.
Rapidly administer 30 mL/kg of normal saline.
Obtain a urine specimen.
Correct Answer : B,D,E,G
A. Inserting a nasogastric (NG) tube is not a priority action in the initial management of sepsis.
B. Measuring lactate levels is a priority action in the initial management of sepsis. Elevated lactate levels indicate tissue hypoxia and are associated with increased mortality in septic patients.
C. Obtaining a wound culture is not a priority action in the initial management of sepsis.
D. Administering broad-spectrum antibiotics is a priority action in the initial management of sepsis. Prompt antibiotic therapy is associated with improved outcomes in septic patients.
E. Obtaining blood cultures is a priority action in the initial management of sepsis. Blood cultures help identify the causative organism and guide antibiotic therapy.
F. Type and cross-matching for packed RBCs is not a priority action in the initial management of sepsis.
G. Rapidly administering 30 mL/kg of normal saline is a priority action in the initial management of sepsis. This bolus of fluid helps restore tissue perfusion and hemodynamic stability.
H. Obtaining a urine specimen is not a priority action in the initial management of sepsis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This statement is correct. HIPAA protects the privacy and security of individually identifiable health information.
B. HIPAA generally requires patient authorization for the disclosure of health information to family members.
C. Personally identifiable information includes any information that can be used to identify an individual, such as a client's name, address, or social security number.
D. HIPAA is a federal law that sets national standards for the protection of health information.
Correct Answer is D
Explanation
A. This response dismisses the client's concerns and does not address the underlying issue.
B. This response is appropriate, but it does not address the underlying issue of altered taste perception.
C. This response suggests a solution but does not address the underlying issue of altered taste perception.
D. This response acknowledges the client's concerns and provides an explanation for the altered taste perception, which can be reassuring and informative.
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