Author Question: The neonatologist suspects an infant has developed sepsis with multiorgan system illness. The nurse ... (Read 41 times)

scienceeasy · **on:** Jun 25, 2018

The neonatologist suspects an infant has developed sepsis with multiorgan system illness. The nurse caring for this infant will note which of the assessment findings support this diagnosis. Select all that apply.

A)
Decreasing BP with increase in heart rate indicative of shock
B)
Prolonged PT and PTT and decrease in platelet count
C)
Frequent voiding of a small amount of light-colored urine
D)
Bilateral warm feet but pedal pulses hard to palpate
E)
Positive Moro reflex when loud noise made at crib side

Question 2

An occupational therapist (OT) is assessing an 80-year-old male client who is poised to return to his assisted living residence following a 14-day hospital stay with a diagnosis of bilateral pneumonia.

As part of the OT's functional assessment, the client's activities of daily living (ADL) and instrumental activities of daily living (IADL) are being assessed. Which of the following assessment findings is most indicative of a deficit in ADL?
A)
The client is unable to clean the washroom in his residence adequately or safely.
B)
The client requires help with dressing himself in the morning.
C)
The client is unable to manage his medication regimen without his daughter's help.
D)
The client requires help climbing the stairs to his residence.

amandalm · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
A, B

Feedback:

Premature infants' health is severely impacted by early-onset infections and progressive multiorgan system illness. Infants with sepsis frequently present with respiratory failure, shock, meningitis, DIC, acute tubular necrosis, and symmetrical peripheral gangrene. Positive Moro reflex is normal for this infant.

Answer to Question 2

Ans:
B

Feedback:

Dressing is considered a core ADL. Cleaning, dressing, and climbing stairs are considered IADL.