Question 1
Which assessment finding should cause a nurse to be concerned that a patient is developing severe sepsis? Select all that apply.
Note: Credit will be given only if all correct choices and no incorrect choices are selected.◦ Serum creatinine level 2.0 md/dL
◦ Blood pressure 148/90 mm Hg
◦ Heart rate 54
◦ Onset of confusion
◦ Absent bowel sounds
Question 2
A patient in the emergency department is demonstrating signs of sepsis. Which interventions should the nurse implement as part of the sepsis resuscitation bundle? Select all that apply.
Note: Credit will be given only if all correct choices and no incorrect choices are selected.◦ Provide insulin for blood glucose level 180 mg/dL.
◦ Obtain blood cultures.
◦ Draw blood for a serum lactate level.
◦ Administer low-dose steroids.
◦ Provide a broad-spectrum antibiotic.
Providing patient education
Patient teaching: mouth and pharyngeal assessment
Example of a patient statement.
An open chamber MRI may be more comfortable for the patient, but images may not be as distinct.