A nurse is teaching student nurses about clients with sepsis. The student nurses make the following responses and the nurse knows that which of the following statements is false?
The following sign and symptoms indicate that a client is having a systemic inflammatory response? Select all that apply.
A client presents after a motor vehicle accident to the intensive care unit. Vitals are as follows: T 99.2, P 140, BP 140/54, RR 30. The clients white blood cell count is 22,000 uL. Which problem should the nurse be concerned about?
A nurse receives report on the following clients and knows that the client with which of the following diagnosis is at the highest risk for developing SIRS?
A client came in with severe sepsis and is now diagnosed with MODS. Which of the following should the nurse expect the doctor to order?
A client on the unit is diagnosed with SIRS. The client has a history of congestive heart failure and chronic kidney disease. The client has received 2 liters of normal saline in the emergency department and is receiving normal saline at 150/hr. The nurse knows that which of the following orders should be questioned? Select all that apply.
