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Select all that apply. Which nursing interventions are appropriate for a patient experiencing anaphylaxis?

The nurse is providing care to a client with a positive enzyme-linked immunosorbent assay (ELISA) test. On examination, the client is found to have fever, weight loss, and Candida infection. The client also reports having night sweats. Which CD4 value does the nurse expect based on the clinical presentation?

True or False: Sarcoidosis is characterized by non-caseating granulomas that may resolve or progress to fibrosis.

A nurse caring for a patient with suspected sepsis knows which intervention must be completed within the first hour (“golden hour”)?

True or False: An early indicator of sepsis is a decreased mental status or confusion.

Select all that apply. Which are key treatment steps for septic arthritis?

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?