/*! This file is auto-generated */ .wp-block-button__link{color:#fff;background-color:#32373c;border-radius:9999px;box-shadow:none;text-decoration:none;padding:calc(.667em + 2px) calc(1.333em + 2px);font-size:1.125em}.wp-block-file__button{background:#32373c;color:#fff;text-decoration:none} Problem 707 A client is admitted to the emer... [FREE SOLUTION] | 91影视

91影视

A client is admitted to the emergency room with a blood pressure of 72/42 mm HG and a diagnosis of septic shock. Which assessment finding would best confirm this diagnosis? A. Hot, dry skin with poor skin turgor B. ABG analysis revealing metabolic alkalosis C. Temperature of 105F (40.6C) and a pulse rate of 122 beats/minute D. Urine output of 30 ml/hour and central venous pressure of 8 cmH2O

Short Answer

Expert verified
Option C (Temperature of 105F and a pulse rate of 122 beats/minute) would best confirm the diagnosis of septic shock.

Step by step solution

01

Understand Septic Shock

Septic shock is a severe and widespread infection that leads to hypotension and organ dysfunction. Key symptoms include hypotension, altered mental state, decreased urine output, rapid heart rate, and high or very low body temperature.
02

Analyze the Options

Evaluate each option against the common symptoms of septic shock. Option A suggests dehydration, which isn't specific to septic shock. Option B indicates a metabolic disorder but doesn't confirm septic shock. Option C presents symptoms like high fever and tachycardia, which align with septic shock. Option D shows decreased urine output and a specific central venous pressure, which can be related to septic shock.
03

Choose the Best Assessment Finding

Select the option that is most indicative of septic shock. Out of the given options, a high temperature and rapid pulse rate (Option C) is a common finding in septic shock and confirms the diagnosis more than the other findings presented.

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Over 30 million students worldwide already upgrade their learning with 91影视!

Key Concepts

These are the key concepts you need to understand to accurately answer the question.

NCLEX-RN Examination
The National Council Licensure Examination for Registered Nurses (NCLEX-RN) serves as a pivotal step for nursing graduates to become practicing nurses. It assesses the candidate's knowledge and skills necessary to perform safely and effectively as a newly licensed, entry-level nurse. The exam includes questions on a wide range of topics, including infection control and management of shock, which is highly relevant when diagnosing conditions like septic shock.

To prepare for such scenarios on the NCLEX-RN, it's important for students to grasp the pathophysiology and clinical presentations of critical conditions. Understanding the signs of septic shock, such as hypotension, altered mental state, decreased urine output, rapid heart rate, and abnormal body temperatures, will be crucial. Moreover, learning to prioritize nursing interventions in emergency situations is a core element that will be tested. A detailed understanding of clinical assessment steps can enhance a student's readiness to make informed decisions under testing and real-life clinical scenarios.
Emergency Nursing
In emergency nursing, clinicians encounter patients with life-threatening conditions such as septic shock. The role of emergency nurses is not just to recognize the symptoms but also to act swiftly in providing care. Septic shock requires rapid clinical assessment and immediate intervention to prevent further organ damage.

Emergency nurses are trained to interpret clinical findings, like low blood pressure, fever, and tachycardia, and to administer appropriate therapies such as fluids and antibiotics. With Option C from the exercise demonstrating a high fever and an increased heart rate, it is indicative of the body's systemic inflammatory response, which coincides with clinical knowledge of septic shock. Furthermore, emergency nurses must be adept at using diagnostic tools such as ABG analysis and understanding central venous pressure readings, to monitor patient's response to treatment. Interventions, patient stabilization, and ongoing assessment form the cornerstone of emergency nursing in cases of septic shock.
Clinical Assessment
Effective clinical assessment is vital in the diagnosis and management of septic shock. Starting with a comprehensive health history, the assessment involves a thorough physical examination, vital signs monitoring, and appropriate diagnostic testing.

Key components in the clinical assessment of a suspected septic shock patient would include assessing the skin for turgor and temperature, as skin condition can reveal dehydration or fever. However, as indicated in the exercise, Option A hints at dehydration rather than septic shock. In contrast, Option C's symptoms of high fever and rapid heart rate are consistent with septic shock's clinical presentation. Urine output and central venous pressure (Option D) are also monitored to assess fluid status and cardiac function. Understanding the significance of these clinical findings helps in prioritizing interventions 鈥 for instance, fluid resuscitation and vasopressor administration might be necessary when low urine output indicates renal hypoperfusion. Therefore, students learning about septic shock should focus on such clinical cues to form a correct diagnosis.

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

A woman is admitted to the emergency room with bleeding from a stab wound in the right chest area. Which assessment findings would the nurse interpret as indicating the initial phase of hypovolemic shock? Mark all that apply. A. Increased hematocrit B. Narrowed pulse pressure C. Elevated heart rate D. Oxygen saturation of less than \(80 \%\) E. Increased rate and depth of respiration F. Absent superficial peripheral pulses G. Slowed capillary refill

Which assessment finding on a 78-year-old woman most likely reflects age-related decreased blood vessel elasticity and increased peripheral resistance? A. An irregular peripheral pulse B. An increase in blood pressure C. Night time confusion D. Wide QRS complexes on the ECG

A pregnant woman at term comes to the labor unit saying her membranes have ruptured. Which characteristic of the client's vaginal secretions would confirm that the membranes had ruptured? The vaginal secretions: A. Are positive for glucose B. Contain red blood cells C. Turn nitrazine paper a reddish orange D. Appear fern like under the microscope when dried on a slide.

A client with schizophrenia says 鈥渟kipping, whipping, tripping鈥 over and over during his waking hours. Which would be a correct label for the nurse to use when documenting this communication? A. word salad B. clang association C. neologism D. echolalia

A 24-year-old post partum client is transferred to the ICU after developing disseminated intravascular coagulation (DIC). The nurse develops a care plan in collaboration with the physician knowing that the care of a client with a bleeding(clotting disorder usually includes: A. Monitoring core body temperature B. Initiating heparin therapy C. Administering blood D. Restricting dairy products in the diet

See all solutions

Recommended explanations on Biology Textbooks

View all explanations

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.