The nurse is caring for an older adult who was admitted with a urinary tract infection and is now exhibiting signs of severe inflammatory response syndrome (SIRS). Which collaborative care goal(s) should the nurse include in the plan of care? Select all that apply.

Reduce white blood cell count.

Body temperature within normal limits.

Decrease blood pressure.

Negative urine culture.

Incision free of exudate.

Answer and Explanation

Correct Answer : B,D,E

Choice A rationale: Reducing the white blood cell count is not a goal of SIRS treatment, as it would impair the immune system's ability to fight the infection.

Choice B rationale: Maintaining body temperature within normal limits is a collaborative goal to address the signs of SIRS.

Choice C rationale: Decreasing blood pressure is not typically a goal in the management of SIRS; the focus is on maintaining adequate perfusion.

Choice D rationale: Achieving a negative urine culture is a collaborative goal to address the underlying urinary tract infection.

Choice E rationale: incision free of exudate is an indicator of resolving infection and inflammation.

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Correct Answer is D

Explanation

Choice A rationale: It is the role of the heathcare provider to provide the patient with explanation for the procedure and ensure their understanding.

Choice B rationale: Postponing the procedure may not be necessary if the client's concerns can be adequately addressed through communication and education. Choice C rationale: Calling the client's next of kin for verbal consent is not appropriate in this situation, as the client is capable of providing informed consent once concerns are addressed.

Choice D rationale: Notifying the healthcare provider isnecessary as it is their role to obtain informed consent. They should also address any patient specific concerns

A. Risk management nurse. B. Neurology unit supervisor. C. Nurse case manager. D. Adult nurse practitioner.

Correct Answer is C

Explanation

Choice A rationale: The risk management nurse is not typically responsible for coordinating patient care through rehabilitation and discharge.

Choice B rationale: The neurology unit supervisor may have expertise in neurology care but may not be directly involved in coordinating care through rehabilitation and discharge.

Choice C rationale: The nurse case manager is specifically trained to coordinate and manage the care of patients through the entire healthcare continuum, including rehabilitation and discharge.

Choice D rationale: While the adult nurse practitioner may be involved in the patient's care, the nurse case manager is spec

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The nurse is caring for an older adult who was admitted with a urinary tract infection and is now exhibiting signs of severe inflammatory response syndrome (SIRS). Which collaborative care goal(s) should the nurse include in the plan of care? Select all that apply.

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Correct Answer is D

Explanation

An adult client is admitted via the emergency department (ED) with a head injury that will initially require intensive care. Which nurse should be responsible for coordinating the progression of this client's care through rehabilitation and discharge?

Correct Answer is C

Explanation

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It is most important to assign which client to a registered nurse rather than a practical nurse (PN)?

The nurse is caring for an older adult who was admitted with a urinary tract infection and is now exhibiting signs of severe inflammatory response syndrome (SIRS). Which collaborative care goal(s) should the nurse include in the plan of care? Select all that apply.

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