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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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Maintaining glucose control is a goal, not a specific actionable recommendation to begin a healthy lifestyle.
B. Weight loss is beneficial, but suggesting a specific number of pounds may not be realistic or immediately actionable as an initial step.
C. Developing an exercise schedule is a good long-term strategy, but it can be overwhelming for someone just starting out.
D. Engaging in brisk walking is a simple, accessible, and effective way to begin increasing physical activity, improve insulin sensitivity, and help control blood glucose levels — making it an ideal initial recommendation.

A. "I will need to have a Pap test every 5 years beginning at age 30." B. "I should have a colonoscopy every 15 years beginning at age 60." C. "I will need to have a mammogram every 2 years beginning at age 45.", D. "I should have a fecal occult test done every 3 years."

Correct Answer is A

Explanation

A. Current guidelines recommend a Pap test combined with HPV testing every 5 years for women aged 30 to 65 years.

B. Colonoscopy screening is recommended every 10 years, starting at age 45 (or earlier with risk factors).

C. While some organizations suggest starting mammograms at age 40 or 45, biennial mammograms are generally recommended beginning at age 50. Starting at age 45 may be considered depending on personal and family risk.

D. Fecal occult blood testing is recommended annually, not every 3 years, as part of colorectal cancer screening.

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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.

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