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A nurse is assessing a client who has an infection.
Which of the following findings is a manifestation of sepsis? (Select all that apply.)

Hypertension.

Hypoglycemia.

Altered mental status.

Elevated WBC count.

Vomiting.

Answer and Explanation

Correct Answer : C,D,E

Choice A rationale

Hypertension is not a typical manifestation of sepsis; sepsis usually involves hypotension.

Choice B rationale

Hypoglycemia is not a common manifestation of sepsis; hyperglycemia is more typical.

Choice C rationale

Altered mental status can occur due to the systemic inflammation and infection affecting the brain.

Choice D rationale

An elevated WBC count indicates an immune response to infection, which is a common sign of sepsis.

Choice E rationale

Vomiting can occur due to the body's response to the infection and systemic inflammation.

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Correct Answer is D

Explanation

Choice A rationale

Obtaining a peak flow reading provides information about the severity of asthma, but it is not the immediate priority during an acute exacerbation.

Choice B rationale

Administering an inhaled glucocorticoid can help in managing inflammation, but it takes time to work and is not the immediate priority.

Choice C rationale

Determining the cause of the acute exacerbation is important for long-term management but is not the immediate priority.

Choice D rationale

Administering a short-acting B2-agonist (SABA) is the priority because it provides rapid bronchodilation, helping to alleviate the airway obstruction quickly.

A. Your HbA1c level of 5.7% or below indicates you have impaired glucose tolerance. B. Since you still have working beta cells, you can try diet to lower your blood sugar. C. This can be a reversible condition, so we will discuss ways to improve your health. D. This type of diabetes means that the cells in your pancreas do not produce any insulin.

Correct Answer is D

Explanation

Choice A rationale

An HbA1c level of 5.7% or below indicates normal glucose tolerance, not impaired glucose tolerance.

Choice B rationale

In type 1 diabetes mellitus, the beta cells are destroyed, and dietary changes alone cannot restore insulin production.

Choice C rationale

Type 1 diabetes mellitus is a chronic condition and is not considered reversible.

Choice D rationale

Type 1 diabetes mellitus is characterized by the autoimmune destruction of beta cells in the pancreas, leading to an absolute lack of insulin production.

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A nurse is assessing a client who has an infection. Which of the following findings is a manifestation of sepsis? (Select all that apply.)

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A nurse is assessing a client who has an infection.
Which of the following findings is a manifestation of sepsis? (Select all that apply.)