Exhibits
The nurse is reviewing the client’s findings. The client is at the highest risk for developing
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
Based on the client’s symptoms and laboratory findings, the client is at the highest risk for developing sepsis due to white blood cell count.
Sepsis is a severe response to infection, and the elevated white blood cell count (15,000/mm³) along with fever, chills, and other symptoms indicate a significant infection that could lead to sepsis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
Explanation
Based on the provided information, the nurse should anticipate a provider prescription for 0.9% sodium chloride and Lorineiv 4mg every 4h.
This is because the patient is postoperative and may require fluid replacement to maintain hydration and manage mild discomfort.
Correct Answer is B
Explanation
Choice A rationale
Fever is not typically a sign of fluid overload. It’s more commonly associated with a transfusion reaction, which could indicate an immune response to the transfused blood.
Choice B rationale
Dyspnea, or difficulty breathing, can be a sign of fluid overload. When the body has too much fluid, it can put pressure on the lungs, making it harder to breathe.
Choice C rationale
Pruritus, or itching, is not typically a sign of fluid overload. It may be a sign of an allergic reaction to the transfusion.
Choice D rationale
Bradycardia, or a slow heart rate, is not typically a sign of fluid overload. In fact, tachycardia, or a fast heart rate, is more common as the heart works harder to pump the excess fluid.
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