Question 1
What should the nurse include in the management plan for a patient with sepsis?
◦ Use high tidal volumes on the ventilator to prevent adult respiratory distress syndrome (ARDS).
◦ Stabilize and debride an infected wound after administering antibiotics for 24 hours.
◦ Avoid CT and MRI scans until the patient is stable.
◦ Assess capillary blood glucose and prevent hyperglycemia.
Question 2
Which action should the nurse implement to help reduce the fever in a patient with sepsis?
◦ Prevent shivering by keeping the patient's hands and feet on the cooling blanket.
◦ A cooling blanket is often considered when the patient's temperature reaches 103°F.
◦ Sedation should be avoided during the use of the cooling blanket because it masks potential shivering.
◦ Shivering should be avoided because it causes a decreased metabolic rate.
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