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A nurse is caring for a 73-year-old client in the emergency department (ED).

Exhibits

It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications.

Insert a nasogastric (NG) tube.

Measure lactate level.

Obtain a wound culture.

Administer broad-spectrum antibiotics.

Obtain blood cultures.

Type and cross-match for 2 units of packed RBCs.

Rapidly administer 30 mL/kg of normal saline.

Obtain a urine specimen.

Answer and Explanation

Correct Answer : B,D,E,G

A.   Inserting a nasogastric (NG) tube is not a priority action in the initial management of sepsis.
B.   Measuring lactate levels is a priority action in the initial management of sepsis. Elevated lactate levels indicate tissue hypoxia and are associated with increased mortality in septic patients.
C.   Obtaining a wound culture is not a priority action in the initial management of sepsis.
D.   Administering broad-spectrum antibiotics is a priority action in the initial management of sepsis. Prompt antibiotic therapy is associated with improved outcomes in septic patients.
E.   Obtaining blood cultures is a priority action in the initial management of sepsis. Blood cultures help identify the causative organism and guide antibiotic therapy.
F.   Type and cross-matching for packed RBCs is not a priority action in the initial management of sepsis.
G.   Rapidly administering 30 mL/kg of normal saline is a priority action in the initial management of sepsis. This bolus of fluid helps restore tissue perfusion and hemodynamic stability.
H.   Obtaining a urine specimen is not a priority action in the initial management of sepsis.

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Correct Answer is B

Explanation

A. While parental influence can play a role in substance use disorders, there is no information in the scenario to support this as a potential underlying reason for the client's opioid use.
B. Chronic pain, such as that caused by Crohn's disease and a gymnastics injury, can lead individuals to seek relief through opioid use. Additionally, opioids may be used to selfmedicate underlying anxiety.
C. There is no mention of hallucinations in the client's history, and using opioids to perform better at work is not a typical reason for opioid use disorder.
D. While opioids can induce drowsiness and promote sleep, this is not typically a primary reason for developing an opioid use disorder in individuals with chronic pain conditions.

A. The local town ordinance regarding smoking bans in certain public spaces B. The need for social support to abstain from smoking C. The benefits to not smoking when engaging in sports and other activities D. The school's no smoking policy

Correct Answer is A

Explanation

A. While this may be relevant information, it is not directly related to the Health Belief Model, which focuses on individual beliefs and attitudes about health behaviors.
B. This aligns with the Health Belief Model, which emphasizes the importance of social influences and support in health-related decision-making.
C. This is a valid point, but it does not directly relate to the Health Belief Model.
D. This is a policy-based approach and does not directly relate to the Health Belief Model.

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A nurse is caring for a 73-year-old client in the emergency department (ED). Exhibits It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications.

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A school nurse is partnering with the local hospital system's tobacco cessation program to give a presentation focused on discouraging tobacco use in high school students. According to the Health Belief Model, which of the following might be included in the presentation?

Correct Answer is A

Explanation

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A nurse is caring for a client scheduled to receive external radiation to the neck for cancer of the larynx. During a pre-treatment exam, the nurse explains to the client that the most likely side effect would be

immediate follow-up.)

A nurse is caring for a 73-year-old client in the emergency department (ED). Exhibits It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications.

A nurse is caring for a 73-year-old client in the emergency department (ED).

Exhibits

It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications.