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

Choice A rationale
Bananas are a rich source of potassium. For a patient taking furosemide (a diuretic that can cause loss of potassium) and with a low serum potassium level, incorporating bananas into their diet can help increase their potassium levels.
Choice B rationale
White rice is not a significant source of potassium. It would not be the best choice for a patient needing to increase their potassium levels.
Choice C rationale
While cabbage does contain some potassium, it is not as high in potassium as other foods, such as bananas.
Choice D rationale
Cheddar cheese is not a significant source of potassium. It would not be the best choice for a patient needing to increase their potassium levels.

A. Areas around pins are dry. B. Crusts around pins. C. Purulent drainage around pins. D. Absence of pain at the site.

Correct Answer is C

Explanation

Choice A rationale
Areas around pins being dry is a normal finding and does not need to be reported.
Choice B rationale
Crusts around pins are also a normal finding as they are usually dried exudate and do not indicate an infection.
Choice C rationale
Purulent drainage around pins is a sign of infection. This should be reported to the unit care coordinator immediately as it may require antibiotic treatment.
Choice D rationale
Absence of pain at the site is a normal finding and does not need to be reported.

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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

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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?