The nurse is caring for an 85-year-old patient with septic shock.

What should the nurse consider when repositioning this patient?

Place the patient in the Trendelenburg position.

Change the patient’s position slowly.

Reduce the oxygen flow.

Increase the IV fluid flow.

Answer and Explanation

The Correct Answer is B

Choice A rationale
The Trendelenburg position, which involves laying the patient flat on their back with their legs elevated higher than their head, is not recommended for patients with septic shock. This position can increase intracranial pressure and does not improve circulation or oxygenation.
Choice B rationale
Changing the patient’s position slowly is important in managing an elderly patient with septic shock. Rapid changes in position can cause a drop in blood pressure (orthostatic hypotension), which can lead to falls or decreased perfusion to vital organs.
Choice C rationale
Reducing the oxygen flow is not recommended for patients with septic shock. These patients often have difficulty with oxygenation and may require supplemental oxygen to maintain adequate oxygen levels.
Choice D rationale
Increasing the IV fluid flow is part of the initial management of septic shock to restore perfusion, but it should be done based on careful assessment and monitoring of the patient’s response to fluids. Overzealous fluid resuscitation can lead to fluid overload and complications such as pulmonary edema.

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Correct Answer is A

Explanation

After a total hip arthroplasty, it is important to prevent hip dislocation. One way to do this is to place a wedge pillow between the legs. This helps to keep the hip in a stable position and prevents the hip from moving too much, which could lead to dislocation.

A. A patient hospitalized with acute pancreatitis and is sitting in a high Fowler’s position leaning over the bedside table. B. A patient who had bariatric surgery and is reporting shoulder pain and heart racing. C. A patient who is one day post-op after an intestinal resection and colostomy, and has no effluent in the bag. D. A patient with cirrhosis and is reporting loose stools.

Correct Answer is B

Explanation

Choice A rationale
A patient with acute pancreatitis sitting in a high Fowler’s position leaning over the bedside table may be experiencing discomfort, but it is not an immediate life-threatening situation.
Choice B rationale
A patient who had bariatric surgery and is reporting shoulder pain and heart racing could be experiencing complications such as a pulmonary embolism, which is a life-threatening condition. This patient should be seen first.
Choice C rationale
A patient who is one-day post-op after an intestinal resection and colostomy and has no effluent in the bag may need further assessment, but it is not an immediate life-threatening situation.
Choice D rationale
A patient with cirrhosis reporting loose stools may be uncomfortable, but it is not an immediate life-threatening situation.

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The nurse is caring for an 85-year-old patient with septic shock. What should the nurse consider when repositioning this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is helping a postoperative patient following a total hip arthroplasty into a supine position. Which of the following actions is appropriate to prevent hip dislocation?

Correct Answer is A

Explanation

Which of the following clients should be seen first?

Correct Answer is B

Explanation

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The nurse is caring for an 85-year-old patient with septic shock. What should the nurse consider when repositioning this patient?

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The nurse is caring for an 85-year-old patient with septic shock.

What should the nurse consider when repositioning this patient?