The nurse is preparing an educational session on sepsis. Which ...

[xroflmao]

The nurse is preparing an educational session on sepsis. Which should the nurse include as a major risk factor for the development of this health problem?
 
  A) Pneumococcal bacteria
  B) Leukocytosis on the complete blood count
  C) Undiagnosed urinary tract infection
  D) Elevated temperature

Question 2

The nurse identifies the diagnosis of Ineffective Peripheral Tissue Perfusion as being appropriate for a client with septicemia. Which intervention will address this client's health problem?
 
  A) Monitor heart rate every hour.
  B) Assess temperature every 4 hours.
  C) Monitor pupil reactions every 8 hours.
  D) Monitor for cyanosis.

[mrphibs]

Answer to Question 1

Answer: C

Sepsis is an entire-body inflammatory process. Sepsis is most often the result of gram-positive infections from Staphylococcus and Streptococcus bacteria but may also follow gram-negative bacterial infections such as Pseudomonas, Escherichia coli, and Klebsiella. A portal of entry for sepsis is the urinary system. Leukocytosis occurs with sepsis if the client is able to mount an immune response. An elevated temperature is a manifestation of sepsis.

Answer to Question 2

Answer: D

Assessing temperature and monitoring heart rate and pupil reaction are important when assessing a client with septicemia, but a change in skin color will alert the nurse immediately of decreased tissue perfusion.

[xroflmao]

TYSM

[recede]

Gracias!