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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?

47. An 18-year-old patient has chemotherapy and bone marrow transplantation for leukemia. While waiting for marrow recovery she develops respiratory failure and needs mechanical ventilation with 100% oxygen. Shortly after she requires increasing doses of noradrenaline and progresses to renal failure. The intensive care team suggest that treatment should be withdrawn as her chances of survival are remote, but the hematologists argue that her renal, respiratory, and cardiovascular failure are potentially reversible if the bone marrow is given time to recover. After discussion with the family it is agreed that treatment should be withdrawn on the grounds of futility. You are the primary nurse involved in this case what will you do? Select all that apply.