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The nurse is caring for a client meeting criteria for systemic inflammatory response syndrome (SIRS) with a suspected infection. What will the nurse anticipate doing within the first 1-hour ? (Select all that apply.)

Paraphasing information from another work does NOT require an in-text citation. 

A patient in the ICU has had an endotracheal tube for 3 weeks. The physician has scheduled the patient to have an tracheostomy tube placed. The patient’s family wants to know why the endotracheal tube cannot be left in. What would be the nurse’s best answer?

A client call you to the room with a complaint of shortness of breath. The SaO2 is 89 % on Room Air. He has rhonchi in all lobes and a temperature of 101, HR 122, RR 36 and BP 160/92. ABGs are as follows: pH 7.33 PaO2 70 PaCO2 72 HCO3 29 Select all that apply:  

In all types of shock, nutritional demands increase rapidly as the body depletes its stores of glycogen. Enteral nutrition is the preferred method of meeting these increasing energy demands. What is the basis for enteral nutrition being the preferred method of meeting the bodies needs?

Safer medical devices allow you to bend or break needles without potential harm.

A 45-year-old man is brought in by Life-Flight after a motor vehicle accident in which he was trapped in a burning vehicle. The burn team is estimating the patient’s likelihood of survival based on the severity of the burn injury. The emergency department nurse knows that the severity of the injury is based on what factors? (Select all that apply.)

A patient in the emergent/resuscitative phase of a burn injury has had her lab work drawn. Upon analysis of the patient’s laboratory studies, the nurse will expect the results to indicate what?

What are the three types of isolation or Transmission-based precautions?

A patient with a severe infection has developed septic shock. The patient’s blood pressure is 72/44, heart rate 130, respiration 22, oxygen saturation 96% on high-flow oxygen, and temperature 103.6 ‘F. The patient’s mean arterial pressure (MAP) is 53 mmHg. Based on these findings, the nurse knows that the patient is experiencing diminished tissue perfusion and needs immediate treatment to prevent organ dysfunction.  In regards to the pathophysiology of septic shock, what is occurring in the body that is leading to the decrease in tissue perfusion? Select all that apply