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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Popliteal and femoral pulses are not typically used for assessing circulation to the brain.
B. Femoral pulse is not commonly used for assessing brain circulation.
C. The carotid pulse is commonly assessed to evaluate circulation to the brain, especially in emergency situations.
D. Radial pulse is more commonly used to assess peripheral circulation in the arm.
Correct Answer is ["2"]
Explanation
To calculate the number of tablets, the nurse should divide the prescribed dose by the available dose. In this case, 0.2 mg / 0.1 mg = 2 tablets. Therefore, the nurse should administer 2 tablets of clonidine.
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