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A nurse is caring for a 73-year-old male 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.

Obtain a wound culture

Rapidly administer 30 mL/kg of normal saline

Insert a nasogastric (NG) tube

Obtain blood cultures

Administer broad-spectrum antibiotics

Measure lactate level

Type and cross-match for 2 units of packed RBCs

Obtain a urine specimen

Answer and Explanation

Correct Answer : A,B,D,E

Choice A rationale:

Obtaining a wound culture is crucial to identify the causative organism and guide appropriate antibiotic therapy. Prompt identification and treatment of the infection source can prevent further systemic complications.

Choice B rationale:

Rapidly administering 30 mL/kg of normal saline helps to restore intravascular volume, improve hemodynamic stability, and enhance tissue perfusion. This intervention is vital in the initial management of sepsis to prevent organ dysfunction.

Choice D rationale:

Obtaining blood cultures before initiating antibiotic therapy is essential to identify the causative microorganism and tailor antibiotic treatment. This step ensures accurate diagnosis and effective management of sepsis.

Choice E rationale:

Administering broad-spectrum antibiotics as soon as possible is critical in managing sepsis. Early and appropriate antibiotic therapy significantly reduces mortality and morbidity by targeting the suspected pathogens promptly.

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Correct Answer is C

Explanation

Choice A rationale

A breast cancer survivor for 8 years without recurrence is generally considered for transplantation if otherwise healthy.

Choice B rationale

Age 65 is not an absolute contraindication for kidney transplantation. Many factors such as overall health status are considered.

Choice C rationale

Alcohol use disorder is a contraindication due to the potential for poor adherence to post-transplant care and medication, as well as the increased risk of liver damage.

Choice D rationale

Having a pacemaker is not an absolute contraindication for a kidney transplant; individuals with pacemakers can still be eligible for transplantation if otherwise healthy.

A. Obtain an influenza vaccine annually. B. Inject insulin in the deltoid muscle. C. Administer glucagon for hyperglycemia. D. Take glyburide with breakfast.

Correct Answer is A

Explanation

Choice A rationale

Obtaining an influenza vaccine annually is crucial for individuals with type 1 diabetes to reduce the risk of infections that can exacerbate their condition.

Choice B rationale

Injecting insulin in the deltoid muscle is not standard practice as subcutaneous tissue in the abdomen or thigh is preferred for insulin absorption.

Choice C rationale

Administering glucagon is for hypoglycemia, not hyperglycemia; insulin or other medications manage hyperglycemia.

Choice D rationale

Taking glyburide is not suitable for type 1 diabetes as it requires insulin management. .

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A nurse is caring for a 73-year-old male 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

A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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A nurse is caring for a 73-year-old male 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 male 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.