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Ciguatera poisoning is the most commonly reported marine toxin disease reported worldwide.  It is caused by ingestion of higher trophic-level fish, like barracuda, that have high concentrations of toxins from the dinoflagellate Gambierdiscus toxicus that have accumulated up the food chain .

Rural populations experience lower rates of alcohol use, child/spousal abuse, and depression than urban counterparts.

CHOOSE THE BEST ANSWER. Shenpa is: 

The majority of older adults with a substance use problem abuse legal drugs, such as prescription painkillers and alcohol.

42. The nurse is caring for a patient in septic shock. The nurse assesses the patient to have a blood pressure of 105/60 mm Hg, heart rate 110 beats/min, respiratory rate 32 breaths/min, oxygen saturation (SpO2) 95% on 45% supplemental oxygen via Venturi mask, and a temperature of 102° F. The primary care provider orders stat administration of an antibiotic. Which additional order should the nurse complete first?

45. The nurse is caring for a patient diagnosed with severe sepsis who was resuscitated with 3000 mL of lactated Ringer solution over the past 4 hours. Morning laboratory results show a hemoglobin of 8 g/dL and hematocrit of 28%. What is the best interpretation of these findings by the nurse?

As discussed in Wednesdays class we can see that when someone is stuck in rumination, all of the following apply EXCEPT

33. The nurse is caring for a patient who has septic shock. Which assessment finding is most important for the nurse to report to the health care provider?

37. The nurse has just completed an infusion of a 1000 mL bolus of 0.9% normal saline in a patient with severe sepsis. One hour later, which laboratory result requires immediate nursing action?

41. The nurse has just completed administration of a 1000-L bolus of 0.9% normal saline. The nurse assesses the patient to be slightly confused, with a mean arterial blood pressure (MAP) of 50 mm Hg, a heart rate of 110 beats/min, urine output of 10 mL for the past hour, and a central venous pressure (CVP/RAP 1-8 mmHg) of 2 mm Hg. What is the best interpretation of these results by the nurse?