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SEPTIC SHOCK QUESTIONS AND ANSWERS
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SEPTIC SHOCK QUESTIONS ANDANSWERS
Which measure indicates that a patient with septic shock has received the
desired outcome of the sepsis resuscitation bundle?
1. Lactate level of 4 mg/dL.
2
Mean arterial blood pressure was 55 mm Hg.
3
Negative blood cultures after 24 hours
4
Anuria for less than 24 hours - ANSWER 1 = lactate level of 4 mg/dL.
Effective fluid resuscitation will restore tissue perfusion, rectify lactic acidosis,
and achieve the goal of normalizing lactate levels. A lactate level of 4 mg/dL is
within the usual range of 3–7 mg/dL. Mean arterial pressure in septic shock
should be kept at 65 mm Hg to provide appropriate tissue perfusion. Blood
cultures can take up to three days to grow; necessary treatment is commenced
prior to culture results. Sepsis treatment results in a minimum urine production
of 20 mL/hr.
A patient with human immune deficiency virus (HIV) is admitted for bacterial
illness. Which parameter, according to the Modified Early Warning System
(MEWS), would the nurse consider when determining the patient's risk of septic
shock? Select all that apply. One, several, or all ANSWERs could be correct.
1. Heart Rate
2. Lung Sounds
,3. Heart Rhythm
4. diastolic blood pressure.
5. WBC count - ANSWER 1. Heart Rate
The nurse utilizing the MEWS system should check the heart and respiration
rates, systolic blood pressure, degree of awareness, temperature, and urine
output. Lung sounds, heart rhythm, diastolic blood pressure, and white blood
cell count are not variables.
What medicine can be used to treat adrenal insufficiency in a sepsis and septic
shock patient?
1
Insulin
2
Heparin
3
Dobutamine
4
ANSWER 4. Hydrocortisone
Following a cholecystectomy, an elderly patient experienced breathing
difficulties, including a heart rate of over 95 beats/min, a breathing rate of 20
, beats/min, a fever of 102.4ºF (39.1ºC), and high blood glucose levels. Which
assessment will help to confirm the patient's condition?
1
Blood Culture
2
Thyroxine levels
3
Hemoglobin levels
4
ANSWER 1: blood culture.
Why does lower urine output occur in patients with sepsis during systemic
inflammatory ANSWER syndrome?
1. Impaired oxygenation and perfusion.
2. Production of proinflammatory cytokines.
3. Capillary leaks, allowing plasma to enter the tissues.
4. Inappropriate coagulation with microthrombi developing in some organ
capillaries - ANSWER 1: poor oxygenation and perfusion.
Which strategy could assist prevent sepsis and septic shock in a 65-year-old
hospitalized patient?
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