The nurse is caring for an 85-year-old patient with septic shock.

What should the nurse consider when repositioning this patient?

Place the patient in the Trendelenburg position.

Change the patient’s position slowly.

Reduce the oxygen flow.

Increase the IV fluid flow.

Answer and Explanation

The Correct Answer is B

Choice A rationale
The Trendelenburg position, which involves laying the patient flat on their back with their legs elevated higher than their head, is not recommended for patients with septic shock. This position can increase intracranial pressure and does not improve circulation or oxygenation.
Choice B rationale
Changing the patient’s position slowly is important in managing an elderly patient with septic shock. Rapid changes in position can cause a drop in blood pressure (orthostatic hypotension), which can lead to falls or decreased perfusion to vital organs.
Choice C rationale
Reducing the oxygen flow is not recommended for patients with septic shock. These patients often have difficulty with oxygenation and may require supplemental oxygen to maintain adequate oxygen levels.
Choice D rationale
Increasing the IV fluid flow is part of the initial management of septic shock to restore perfusion, but it should be done based on careful assessment and monitoring of the patient’s response to fluids. Overzealous fluid resuscitation can lead to fluid overload and complications such as pulmonary edema.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

Based on the provided exhibits, here are the considerations for the provider’s prescriptions:

Test stools for occult blood:Anticipated. Given the client’s report of vomiting brown emesis, which could indicate gastrointestinal bleeding, testing stools for occult blood is a standard diagnostic approach to confirm or rule out bleeding.
Insert a nasogastric tube, attach to low suction:Anticipated. The client has vomited coffee ground emesis, which is a sign of possible upper gastrointestinal bleeding. A nasogastric tube can help decompress the stomach and remove any remaining blood or gastric contents.
Administer aspirin for abdominal pain:Contraindicated. Aspirin can exacerbate gastrointestinal bleeding, especially in a client with a history of GERD and current symptoms that may suggest a gastrointestinal bleed.
Initiate IV fluids:Anticipated. The client’s vital signs indicate tachycardia and hypotension, which, along with the clinical presentation, suggest volume depletion possibly due to vomiting and potential bleeding. IV fluids are necessary to maintain hemodynamic stability.

A. You can get hepatitis C by coming into contact with an infected person’s bodily fluids, such as saliva. B. You can get hepatitis C by coming into contact with infected blood, such as from a used needle. C. You can get hepatitis C by consuming contaminated food or water. D. You can get hepatitis C by sharing personal items like toothbrushes or razors with an infected person.

Correct Answer is B

Explanation

Choice A rationale
Hepatitis C is not typically transmitted through saliva. It is a bloodborne virus, meaning it is most commonly transmitted through exposure to infected blood.
Choice B rationale
Hepatitis C is most commonly transmitted through exposure to infected blood. This can occur through sharing drug injection equipment, receiving a tattoo or piercing at a place with poor infection control, and other ways. Coming into contact with infected blood, such as from a used needle, is a common way the virus is transmitted.
Choice C rationale
Hepatitis C is not typically transmitted through consuming contaminated food or water. It is a bloodborne virus.
Choice D rationale
While it is possible to contract Hepatitis C by sharing personal items like toothbrushes or razors with an infected person, this is less common. The virus is most commonly transmitted through exposure to infected blood.

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The nurse is caring for an 85-year-old patient with septic shock. What should the nurse consider when repositioning this patient?

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Naxlex Comprehensive Predictor Exams

A nurse is admitting a client. Review the exhibits to answer the question. Exhibits For each potential provider's prescription, click to specify if the prescription is anticipated or contraindicated.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

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Correct Answer is B

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The nurse is caring for an 85-year-old patient with septic shock.

What should the nurse consider when repositioning this patient?