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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

A 48-year-old female that was admitted to a medical-surgical unit last night following a scheduled right, large toe amputation. Her medical history includes diabetes mellitus type I with multiple complications including peripheral neuropathy, retinopathy, gangrenous toes, and chronic kidney disease for which she manages continuous ambulatory peritoneal dialysis (CAPD). A nurse from the dialysis center arrives at 0615 to assist the client in a dialysate exchange. During the nurse’s pre-procedure assessment, the client states, “I don’t feel good this morning. I am really tired and have pain in my belly. I probably just need to get this exchange done.” The nurse completes the assessment and assists the client to begin draining the effluent which is cloudy and smells foul. The nurse collects a sample of the effluent and reviews the client’s EHR prior to calling the primary health care provider.   Time 1600 1700 1745 2120 2230 0200 0615 Unit Pre-op Surgery Post-op MS Vital signs Temperature 98.9° F (37.2° C) 99.5° F (37.5° C)     100.9° F (38.3° C) 101.6° F (38.7° C) 102.3° F (39.1° C) Heart rate 89 beats/min 95 beats/min     88 beats/min 108 beats/min 116 beats/min Cardiac rhythm NSR NSR     NSR ST ST Blood pressure 145/67 mm Hg 126/60 mm Hg     120/60 mm Hg 108/57 mm Hg 95/51 mm Hg Respiratory rate 18 breaths/min 18 breaths/min     22 breaths/min 24 breaths/min 28 breaths/min O2 saturation 95% 94%     98% 92% 90% O2 device None None     2L NC 2L NC 4L NC Pain Denies Denies     Abdomen 4/10 Abdomen 4/10 Abdomen 6/10 Capillary blood glucose   148 mg/dL (8.2 mmol/L)     136 mg/dL (7.6 mmol/L) 186 mg/dL (10.33 mmol/L) 205 mg/dL (11.39 mmol/L) Labs HbA1C   7.9%           RBC   4.8 × 1012/L     4.9 × 1012/L     WBC   11,000/mm3 (11 × 109/L)     11,800/mm3 (11.8 × 109/L)     Platelet   110,000/mm3 (110 × 109/L)     100,000/ mm3 (100 × 109/L)     BUN   72 mg/dL (25.71 mmol/L           Creatinine   5.2 mg/dL           APTT   33 sec           INR   1.3             What assessmet data are relevant to the client’s current condition? (Select all that apply.)

A nurse is caring for a client who has bulimia nervosa in which they have stopped the purging behavior. The client tells the nurse she is fearful of gaining weight. Which of the following responses should the nurse make?

The nurse is caring for a client in the intensive care unit admitted with the diagnosis of septic shock. The nurse understands that the pathophysiologic basis for the client’s metabolic acidosis associated with septic shock is:

 Which information obtained by the nurse indicates that the patient is in the late (hypodynamic) stage of septic shock?