A client is diagnosed with systemic inflammatory response syndrome (SIRS) as a result of a bacterial infection. Which nursing intervention may prevent the development of multiple-organ dysfunction syndrome (MODS)?

Placing the client on a ventilator to remove carbon dioxide (CO2)

Advising the client to use their call light to reduce the risk of falls

Providing the client a high protein diet

Administering antibiotics and maintaining the mean arterial pressure (MAP) at least 65 mm Hg

Answer and Explanation

The Correct Answer is D

A. Placing the client on a ventilator to remove CO2 is not directly related to preventing the development of MODS. While ventilation might be necessary for respiratory support, it does not address the systemic infection and inflammation that contribute to MODS.
B. Advising the client to use their call light to reduce the risk of falls is important for general safety but does not address the critical factors involved in preventing MODS in the context of SIRS.
C. Providing a high protein diet can support overall nutrition and healing but is not the primary intervention for preventing MODS. Managing the infection and maintaining hemodynamic stability are more critical.
D. Administering antibiotics to treat the bacterial infection and maintaining a mean arterial pressure (MAP) of at least 65 mm Hg are essential interventions. Effective antibiotic therapy addresses the infection, and maintaining MAP ensures adequate organ perfusion, both of which help prevent the progression to MODS.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. While the time of the burn can provide information about the potential progression of injury, it is not the primary factor in determining the severity of the burn.
B. The depth of the burn is crucial for assessing the severity of the injury as it directly impacts the treatment required and the potential for complications. Depth determines whether the burn is superficial, partial-thickness, or full-thickness.
C. The cause of the burn is relevant for understanding the mechanism of injury but does not directly affect the assessment of burn severity.
D. The location of the burn is important for assessing potential complications and functional impairment but is secondary to the depth of the burn when determining overall severity.

A. Bloating B. Postmenopausal vaginal bleeding C. Feeling full quickly after eating D. Unexplained recent weight gain

Correct Answer is B

Explanation

B. Postmenopausal vaginal bleeding is a common symptom of endometrial cancer. It is one of the most significant warning signs for this condition in older women, as it may indicate abnormal growth in the endometrial lining.
A. Bloating is more commonly associated with ovarian cancer and gastrointestinal issues rather than endometrial cancer specifically.
C. Feeling full quickly after eating is more indicative of ovarian cancer or other gastrointestinal problems.
D. Unexplained weight gain is not a typical primary symptom of endometrial cancer; it is less specific and can be associated with various other conditions.

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A client is diagnosed with systemic inflammatory response syndrome (SIRS) as a result of a bacterial infection. Which nursing intervention may prevent the development of multiple-organ dysfunction syndrome (MODS)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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