Which assessment data for a client with a urinary tract infection and sepsis indicates the client may be developing a complication of sepsis?
Normal ranges for arterial blood gases (ABGs) are as follows:
- pH: 7.35-7.45
- PaO2: 75-100 mm Hg
Normal ranges for platelet count are:
- Platelets: 150,000-400,000/mm^3
ABG: pH 7.36 (normal range 7.35-7.45), PaO2 80 mm Hg (normal range 75-100 mm Hg)
Temperature 100.8°F
Platelets 99,000/mm^3 (normal range 150,000-400,000/mm^3)
Urine culture positive for gram-negative bacteria
The Correct Answer is C
Choice A reason: The ABG values provided are within normal limits and do not indicate a complication of sepsis.
Choice B reason: A temperature of 100.8°F suggests an infection but is not specific enough to indicate a complication of sepsis.
Choice C reason: A platelet count of 99,000/mm3 is below the normal range and can indicate a complication of sepsis known as disseminated intravascular coagulation (DIC), which is a serious condition that can lead to severe bleeding or blood clots.
Choice D reason: A urine culture positive for gram-negative bacteria indicates an infection, which could be the source of sepsis, but it does not specifically indicate a complication of sepsis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Deep brain stimulation is known to help reduce tremors in Parkinson's disease, which is one of the main symptoms that can be debilitating.
Choice B reason: While deep brain stimulation may help with some non-motor symptoms, it is not primarily used to treat urinary retention.
Choice C reason: Deep brain stimulation does not slow the progression of Parkinson's disease; it is used to manage symptoms.
Choice D reason: Deep brain stimulation is not a treatment for preventing depression, although it may improve overall quality of life.
Correct Answer is A
Explanation
Choice A reason: Sodium restriction is a standard intervention in the management of cirrhosis, particularly when there is fluid retention leading to a distended abdomen (ascites) and weight gain.
Choice B reason: Encouraging fluids would not be appropriate for a client with cirrhosis who is already experiencing fluid overload, as indicated by a distended abdomen and weight gain.
Choice C reason: Checking lipase levels is associated with pancreatic function and would not be a direct intervention based on the symptoms of cirrhosis presented.
Choice D reason: Pancrealipase is used to aid digestion in patients with pancreatic insufficiency and is not related to the management of cirrhosis symptoms such as ascites and dyspnea.
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