A nurse is providing care to a group of patients with chronic illnesses.

Who among the following patients should the nurse identify as being at the highest risk for sepsis?

The patient with polycystic ovarian syndrome.

The patient with cancer.

The patient with Kallmann’s syndrome.

The patient with Addison’s disease.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Polycystic ovarian syndrome is a hormonal disorder common among women of reproductive age. While it can lead to several complications, it does not significantly increase the risk of sepsis.

Choice B rationale

Cancer and certain treatments for cancer can weaken the immune system, increasing the risk of infections that could lead to sepsis.

Choice C rationale

Kallmann’s syndrome is a genetic condition that affects the production of a hormone involved in sexual development. It does not significantly increase the risk of sepsis.

Choice D rationale

Addison’s disease affects the adrenal glands and can disrupt the balance of hormones in the body, but it does not significantly increase the risk of sepsis.

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Correct Answer is C

Explanation

Choice A rationale

Gently reinserting the bowel back into the patient’s wound is not recommended. This could cause further harm to the patient.

Choice B rationale

Placing the head of the patient’s bed in the flat position is not the best action. This position may not provide the necessary comfort or safety for the patient.

Choice C rationale

Applying moistened sterile gauze to the site is the correct action. This helps to protect the protruding bowel and prevent further contamination until surgical intervention can be performed.

Choice D rationale

Positioning the patient on his left side is not the best action in this situation. It does not directly address the issue of the protruding bowel.

A. Relieves pain. B. Slows intestinal motility. C. Dissolves blood clots. D. Prevents dysrhythmias.

Correct Answer is D

Explanation

Choice A rationale

Lidocaine does not primarily serve to relieve pain when administered intravenously. It is primarily used as an antiarrhythmic agent.

Choice B rationale

Lidocaine does not slow intestinal motility. This is not one of its primary actions.

Choice C rationale

Lidocaine does not dissolve blood clots. It is not an anticoagulant.

Choice D rationale

Lidocaine prevents dysrhythmias. It is an antidysrhythmic medication that delays the conduction in the heart and reduces the automaticity of heart tissue.

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A nurse is providing care to a group of patients with chronic illnesses. Who among the following patients should the nurse identify as being at the highest risk for sepsis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who is postoperative following abdominal surgery. The nurse discovers a loop of bowel protruding through an opening in the surgical incision. What should the nurse do?

Correct Answer is C

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Correct Answer is D

Explanation

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A nurse is providing care to a group of patients with chronic illnesses.

Who among the following patients should the nurse identify as being at the highest risk for sepsis?