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Select all that apply. A patient admitted after severe trauma presents with a temperature of 38.8°C, HR 110 bpm, and RR 24/min. Which findings meet the criteria for SIRS?

A patient in the ICU with septic shock is on norepinephrine and mechanical ventilation. The nurse notes: MAP = 58 mmHg Urine output = 15 mL over the past hour Lactate increased from 3.8 → 5.2 mmol/L Abdomen distended and tense What is the nurse’s priority action?

A young client with a history of spinal cord injury of the thoracic spine is in the intensive care unit with a blood pressure of 80/45. On physical assessment, the client has the expected loss of neurological function below the level of injury, skin is noted to be edematous, lungs are clear, and a urinary catheter is draining small amounts. Medications to increase the blood pressure are being given through IV lines. Which condition does the nurse suspect in the client, based on these findings?

Which term is defined as the process of bacteria spreading within the body from infected tissue into the musculoskeletal system via the vascular system?

The nurse is employed in a community health clinic. An adult client tells the nurse, “I had sex with a person who afterwards told me they are HIV positive.” Which nursing intervention does the nurse immediately implement?

The nurse is reviewing laboratory results for a client. Which pathogen does the nurse recognize as causing ankylosing spondylitis?

A patient with polypharmacy is at higher risk for falls.

Electronic health records (EHRs) are being instituted at Pleasant Valley Hospital. Some of the staff on Unit 4 complain to the manager that acquiring the technologic skills required is too time consuming. They question its value in patient care. The manager responds that:

A staff member in a new management position, finds a mentor who has been in the role of unit manager for 3 years and has a similar interest in clinical excellence. During their frequent meetings, the mentor provides assistance with learning aspects of the manager’s role, including technical aspects, such as how to interpret budget printouts and to achieve budget outcomes. The success of the mentors coaching depends on:

Which anxiety management strategy incorporates focusing on an audio or visual target in order to decrease cortisol levels, improve immune system function and tissue repair?