The nurse recognizes that a patient with sepsis is at risk to develop hypotension. Which pathophysiological process is responsible for this symptom?

Vasodilation and fluid shift out of the vascular space

Platelet aggregation and thrombus formation

Decreased blood glucose and oliguria

Hypoxemia and anaerobic metabolism

Answer and Explanation

The Correct Answer is A

Choice A reason: In sepsis, inflammatory mediators cause vasodilation and increased capillary permeability, leading to fluid leaking out of the vascular space, resulting in hypotension.

Choice B reason: Platelet aggregation and thrombus formation can occur in sepsis but are more related to disseminated intravascular coagulation (DIC) rather than directly causing hypotension.

Choice C reason: Decreased blood glucose and oliguria can be consequences of sepsis but are not the primary pathophysiological processes responsible for hypotension.

Choice D reason: Hypoxemia and anaerobic metabolism may result from the effects of sepsis on the body, including hypotension, but they are not the direct cause of hypotension.

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Correct Answer is B

Explanation

Choice A reason: Tachycardia, or rapid heart rate, is typically a symptom of an overdose of levothyroxine, not an underdose.

Choice B reason: Intolerance to cold is a common symptom of hypothyroidism, which occurs when the thyroid hormone levels are too low, indicating that the levothyroxine dose may be insufficient.

Choice C reason: Weight loss is more commonly associated with hyperthyroidism or an excessive dose of levothyroxine.

Choice D reason: Fine tremors of fingers and hands are also more indicative of hyperthyroidism or too high a dose of levothyroxine.

A. Administer oxygen via mask. B. Obtain serum lactate level. C. Infuse 0.9% NS at 50 mL/hr. D. Obtain blood and urine cultures.

Correct Answer is C

Explanation

Choice A reason: Administering oxygen via mask is appropriate for a client with sepsis who may have compromised oxygenation.

Choice B reason: Obtaining a serum lactate level is important in sepsis as it can indicate the severity of the condition and guide treatment.

Choice C reason: An infusion rate of 0.9% Normal Saline at 50 mL/hr may be questioned because clients with sepsis may require more aggressive fluid resuscitation.

Choice D reason: Obtaining blood and urine cultures is essential before starting antibiotics to identify the causative organism in sepsis.

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The nurse recognizes that a patient with sepsis is at risk to develop hypotension. Which pathophysiological process is responsible for this symptom?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse suspects the client's dose of levothyroxine (Synthroid) is too low when the client displays which symptom?

Correct Answer is B

Explanation

The nurse is reviewing orders received for a client diagnosed with sepsis. Which order should the nurse question?

Correct Answer is C

Explanation

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