The nurse is caring for a client who develops signs and symptoms of septic shock following a urinary tract infection one week ago. The healthcare provider prescribes a sepsis protocol to be initiated. Which intervention is most important for the nurse to include in the plan of care?
Maintain strict intake and output.
Assess warmth of extremities.
Monitor blood glucose level.
Keep head of bed raised 45 degrees.
The Correct Answer is A
A. Maintaining strict intake and output is crucial in managing septic shock as it helps to monitor fluid balance, which is essential for managing hypovolemia and ensuring adequate perfusion.
B. While assessing warmth of extremities is important, it is not as directly related to the immediate management of septic shock as monitoring intake and output.
C. Monitoring blood glucose levels is important, especially in septic patients, but it is not the primary focus in the initial management of septic shock.
D. Keeping the head of the bed raised 45 degrees can help with breathing but is not the most critical intervention in the immediate management of septic shock.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["41.7"]
Explanation
Step 1: Convert grams to milligrams
The prescribed dose is 5 grams (g) daily.
- 1 gram (g) = 1,000 milligrams (mg)
- 5 g = 5,000 mg daily
Step 2: Determine the dose per administration
The medication is to be given every 8 hours, meaning the total daily dose is divided into three equal doses:
5,000mg/3=1,666.67mgperdose
Step 3: Use the medication concentration to find the volume
The available suspension is 200 mg per 5 mL. Using the ratio formula:
200mg/5mL=1,666.67mg/XmL
Solve for X:
X=1,666.67×5/200
X=8,333.35/200=41.67mL
Answer: 41.7 mL (Rounded off to the nearest tenth)
Correct Answer is B
Explanation
A. Mebendazole is usually administered orally, not as a rectal suppository.
B. A second dose of mebendazole is commonly recommended in two weeks to ensure complete eradication of pinworms.
C. Mebendazole is generally safe for children but should be used according to age-specific dosing guidelines. It is not safe for all ages without consideration of the child's age.
D. Mebendazole should be given to all individuals in the household who have been exposed, not just those with symptoms.
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