The nurse is assessing vital signs of a patient who has peritonitis. Which of the following vital signs indicate septic shock? Select all that apply.
Low heart rate
High blood pressure
High respiration rate
Low respiration rate
Fever
High heart rate
Low blood pressure
Correct Answer : C,E,F,G
A. Septic shock typically causes tachycardia (increased heart rate), not bradycardia.
B. Septic shock is usually associated with hypotension due to widespread vasodilation and capillary leak.
C. Tachypnea (increased respiratory rate) is a compensatory response to metabolic acidosis in septic shock.
D. A decreased respiratory rate is not characteristic of septic shock and may suggest impending respiratory failure.
E. Fever is a common sign of systemic infection and early sepsis.
F. Tachycardia is an early sign of septic shock due to compensatory mechanisms trying to maintain perfusion.
G. Hypotension is a hallmark of septic shock, indicating inadequate tissue perfusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["450"]
Explanation
Time from 1245 to 1545 = 3 hours
Infused amount = 3 × 100 = 300 mL
Thus, remaining fluid =
750 mL (ordered total) – 300 mL = 450 mL
Answer: 450 mL should remain in the solution set.
Correct Answer is A
Explanation
A. Crohn's disease – Crohn’s disease is a chronic inflammatory bowel disease that can affect any part of the gastrointestinal tract, most commonly the distal ileum and proximal colon. It is characterized by transmural (all layers) inflammation and may cause fistulas, strictures, and deep ulcerations.
B. irritable bowel disease – This appears to refer to irritable bowel syndrome (IBS), which is a functional disorder without inflammation or structural damage and does not affect the intestinal layers.
C. ulcerative colitis – Ulcerative colitis is limited to the colon and rectum and affects only the mucosal and submucosal layers, not all layers.
D. celiac disease – Celiac disease is an autoimmune disorder triggered by gluten ingestion, affecting the small intestine's mucosal lining, not involving all layers or the colon.
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