A nurse is collecting data on a client who has an infection. Which of the following findings is a manifestation of sepsis?

Vomiting Hypoglycemia

Hypertension

Altered mental status

Elevated WBC’s count

Answer and Explanation

The Correct Answer is C

A.   Vomiting is not a specific manifestation of sepsis.
B.   Hypertension is not a typical finding in sepsis; hypotension is more common.
C.   Altered mental status, such as confusion or lethargy, can be a sign of sepsis- induced organ dysfunction.
D.   While an elevated white blood cell (WBC) count is often seen in infection, it alone does not indicate sepsis. The key in sepsis is the body's dysregulated response to infection leading to organ dysfunction.

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Correct Answer is D

Explanation

A. Fever is not a common side effect of allopurinol.
B. Allopurinol is usually taken with food to minimize gastrointestinal upset.
C. If a rash develops, the client should stop taking allopurinol and notify their healthcare provider rather than self-medicating with an antihistamine.
D. Drinking an adequate amount of water helps prevent kidney stones, a potential side effect of allopurinol.

A. I notice you keep clenching your fists. Please refrain from doing that during this meeting. B. You need to work hard on resolving conflict with family and friends closest to you. C. Antidepressants are not the solution for your problems, but this therapy group definitely is. D. What do you mean when you say you cannot ever return to work?

Correct Answer is D

Explanation

This statement is directive and may not encourage open discussion.
B: This is prescriptive and may not be well-received in a group therapy setting.
C: Making definitive statements about the effectiveness of the therapy group may not be appropriate.
D: This statement encourages open communication and exploration of the client's concerns, fostering a therapeutic environment in group therapy.

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A nurse is collecting data on a client who has an infection. Which of the following findings is a manifestation of sepsis?

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