The client is experiencing septic shock. what assessment finding would the nurse expect to find?

b
(Rationale
Oliguria and hypotension are considered part of the cold phase or late septic shock. In this phase, in addition to blood pressure and urine decreases, hypovolemia and compensatory mechanisms result, such as rapid, shallow, or dyspneic respirations. The skin becomes cool, pale, and edematous; the client becomes lethargic to comatose mental status. There is decreased CVP, tachycardia, and arrhythmic pulses, and normal to decreased body temperatures. Death may occur during this phase due to respiratory, cardiac, and/or renal failure.)

Inhaltsverzeichnis Show

Which assessment finding indicates that the client may be experiencing neurogenic shock?
What are common signs and symptoms of septic shock quizlet?
What is the most important goal of nursing care for a client who is in shock?
Which patient would the nurse monitor most closely for possible development of sepsis?

a,b,d,e
(Rationale
Clients with the following portals of entry are at risk for infections that may lead to sepsis: clients with catheterizations, those undergoing respiratory therapies, and those with peptic ulcers, ruptured appendix, peritonitis, surgical wounds, IVs, decubitus ulcers, burns, and traumas. Female clients with STIs, who use tampons, or who have surgical abortions are at risk for septic shock. Other clients at risk for developing sepsis related to infections are those clients who are hospitalized, have debilitating chronic illnesses, have poor nutritional status, have had an invasive procedure or surgery, and those who are older adults or immunocompromised.)

Which assessment finding indicates that the client may be experiencing neurogenic shock?

Hallmark signs and symptoms of neurogenic shock are: hypotension, bradycardia, hypothermia, warm/dry extremities (this is due to the vasodilation and blood pooling and will be found in the extremities).

What are common signs and symptoms of septic shock quizlet?

Symptoms of sepsis.

fever and chills..

pale, clammy skin..

shortness of breath..

elevated heart rate..

confusion..

extreme pain..

What is the most important goal of nursing care for a client who is in shock?

The major goals for the patient are: Maintain fluid volume at a functional level. Report understanding of the causative factors of fluid volume deficit. Maintain normal blood pressure, temperature, and pulse.

Which patient would the nurse monitor most closely for possible development of sepsis?

Elderly patients are at most risk for developing sepsis because of decreased physiologic reserves and an aging immune system. Gram-positive bacteria accounts for 50% of cases of septic shock.

The client is experiencing septic shock. what assessment finding would the nurse expect to find?

Which assessment finding indicates that the client may be experiencing neurogenic shock?

What are common signs and symptoms of septic shock quizlet?

What is the most important goal of nursing care for a client who is in shock?

Which patient would the nurse monitor most closely for possible development of sepsis?

zusammenhängende Posts

What action should the nurse implement when accessing an implanted infusion port for a client who receives long term IV medication?

Which statement indicates a client understands transmission of the human immunodeficiency virus

Which topical drugs are typically used to treat a client with acne vulgaris select all that apply?

Which conditions in the client indicates need of nursing care that supports homeostatic regulation

Which of the following factors would a nurse identify as a most likely cause of DKA in a client with diabetes?

Which of the following is the most critical intervention needed for a client with myxedema coma?

In preparing a pediatric client for an appendectomy the nurse would question which doctors orders

Which information would the nurse provide to a client with insomnia to prevent injury quizlet

When arranging nursing care for a client from a diverse cultural background What should the nurse do the nurse must?

To which disaster triage class would the nurse infer a client with a green triage tag belongs

Werbung

NEUESTEN NACHRICHTEN

Which incentive plans are specifically designed to promote group performance

According to the flsa, which individual is most likely a nonexempt employee?

Reactive and protective behaviors designed to avoid action, blame, or change are termed ________.

The machiavellian personality is characterized by the will to manipulate and the desire for power.

Ist ein mann in brunn gefallen noten

Which of the following biometric authentication systems is the most accepted by users?

Was ist der Unterschied zwischen Hanf und CBD?

Wie viele noten braucht man für eine zeugnisnote sachsen-anhalt

Wie fühlt man sich wenn man schwanger ist am anfang

Kann man Basaltemperatur auch tagsüber Messen?

Werbung

Populer

Werbung

Um

Legal

Hilfe

Sozial