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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The statement about the medication taking a few weeks to work fully is accurate and does not require follow-up.
Choice B reason: The statement that levothyroxine replaces the hormone the body used to produce is correct and reflects an understanding of the therapy.
Choice C reason: Acknowledging the possibility of lifelong medication is appropriate for levothyroxine therapy in the case of hypothyroidism.
Choice D reason: Levothyroxine should be taken on an empty stomach, typically 30 minutes to an hour before breakfast, to ensure proper absorption. This statement indicates a misunderstanding that requires nurse follow-up.
Correct Answer is B
Explanation
Choice A reason: While it's important to monitor WBC levels for overall health, it is not specifically related to the administration of levodopa/carbidopa for Parkinson's disease.
Choice B reason: Blood pressure should be checked before administering levodopa/carbidopa as these medications can affect blood pressure, potentially causing hypotension.
Choice C reason: Assessing for bleeding is a general nursing action but not specifically related to levodopa/carbidopa administration.
Choice D reason: Providing a high-protein snack can actually interfere with the absorption of levodopa and should be avoided at the time of medication administration.
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