An immunocompromised older adult has developed a urinary tract infection, and the care team recognizes the need to prevent an exacerbation of the client’s infection that could result in urosepsis and septic shock. What action should the nurse perform to reduce the client’s risk of septic shock?
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A client is scheduled for an allograft to a burn wound, and…
A client is scheduled for an allograft to a burn wound, and the client asks for an explanation. What information will the nurse include in the client teaching?
Which of the following considered a risk factor for acute pa…
Which of the following considered a risk factor for acute pancreatitis?
A 132 pound patient is admitted to the intensive care unit (…
A 132 pound patient is admitted to the intensive care unit (ICU) with a diagnosis of acute respiratory distress syndrome (ARDS). The patient is placed on a mechanical ventilator and a propofol drip of 1000 mg in 100 ml of D5W is started for sedation. If the propofol is infusing at 9 ml/hr what is the dose in mcg/kg/min?
A patient has been receiving a continuous heparin drip for t…
A patient has been receiving a continuous heparin drip for treatment of possible deep vein thrombosis for 4 days. The patient now has developed symptoms consistent with heparin-induced thrombocytopenia. What change in therapy does the nurse anticipate?
The nurse is caring for a patient that has just been given a…
The nurse is caring for a patient that has just been given a 6-month prognosis following a diagnosis of extensive small-cell lung cancer. The patient states he wants to die at home, but the health care team believes the patient’s care needs will not be met. What should the nurse suggest as an alternative?
A sample consensus formula for fluid replacement recommends…
A sample consensus formula for fluid replacement recommends that an isotonic solution be administered in the first 24 hours of a burn in the range of 2 to 4 mL/kg/% of burn with one-half of the total given in the first 8 hours postburn. A 176 lb (80 kg) man with a 30% burn should receive a minimum of how much fluid replacement in the first 8 hours?
A client is experiencing gastrointestinal (GI) bleeding from…
A client is experiencing gastrointestinal (GI) bleeding from ruptured esophageal varices. What medication does the nurse prepare for administration that mimics the actions of somatostatin that will reduce the GI bleeding?
The nurse understands that organ failure associated with mul…
The nurse understands that organ failure associated with multiple organ dysfunction syndrome (MODS) usually begins in which organ of the body?
The nurse is assessing a patient with liver failure and the…
The nurse is assessing a patient with liver failure and the patient is unable to answer questions, is incoherent, and combative. The nurse notes involuntary movements from the patient. The nurse should suspect that the patient is experiencing which complication?