Which diagnostic studies will the nurse monitor for the client being treated for sepsis? Select all that apply.

Platelet count

Urine specific gravity

Lactate level

PaO2

Serum ammonia

Answer and Explanation

Correct Answer : A,C,D

Choice A reason: Monitoring platelet count is important in sepsis as thrombocytopenia can occur due to disseminated intravascular coagulation (DIC).

Choice B reason: Urine specific gravity is not typically monitored for sepsis unless there is a concern for renal function or fluid balance.

Choice C reason: Lactate levels are monitored in sepsis to assess the severity of septic shock and tissue hypoperfusion.

Choice D reason: PaO2 is monitored to assess oxygenation status, which can be compromised in sepsis due to respiratory dysfunction.

Choice E reason: Serum ammonia is not typically monitored for sepsis unless there is a concern for hepatic function or encephalopathy.

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Correct Answer is D

Explanation

The correct answer is d. Urine output 60 mL.

Choice A reason: A pulse oximetry reading of 96% is within normal limits and does not indicate an ineffective response to the medications.

Choice B reason: A heart rate of 77, regular, is also within normal limits and does not suggest an ineffective response.

Choice C reason: Trace bilateral ankle edema may persist even after effective treatment due to residual effects of heart failure.

Choice D reason: A urine output of 60 mL over 2 hours post-diuretic administration suggests an inadequate response, as furosemide is expected to produce a significant diuresis to reduce fluid overload in acute heart failure.

A. Assess temperature. B. Monitor urine output. C. Administer antibiotics. D. Evaluate current CBC (Complete Blood Count).

Correct Answer is C

Explanation

Choice A reason: While assessing temperature is important for monitoring infection, it is not the immediate priority in the treatment of UTI and sepsis.

Choice B reason: Monitoring urine output is crucial for a UTI but does not address the systemic infection that sepsis represents.

Choice C reason: Administering antibiotics is the most critical intervention for a client with sepsis due to a UTI, as it directly addresses the underlying infection and can be life-saving.

Choice D reason: Evaluating the current CBC is important for understanding the client's baseline and response to infection but is secondary to the administration of antibiotics.

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Which diagnostic studies will the nurse monitor for the client being treated for sepsis? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The nurse is admitting a client diagnosed with a urinary tract infection (UTI) and sepsis. Which intervention would the nurse consider a priority?

Correct Answer is C

Explanation

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