NRNP 6566 Week 4 Knowledge Check Quiz Q&A

NRNP 6566 Week 4 Knowledge Check Quiz Q&A A 47 year old male admitted with an infected elbow wound. On his second day in the hospital you find him in his room confused and agitated. Vital signs are as follows: Temperature – 96.2 °F Pulse -140 beats per minute Respirations – 40 breaths per minute Blood Pressure – 90/40 mmHg Labs include a WBC count of 3,000 Pt weighs 185 pounds Further assessment of him includes: Urine output of 100cc for the last 8 hours Pulse oximetry of 88% on room air Pallor What is your working diagnosis? Correct Answer There are 4 stages of sepsis. This patient meets the criteria for septic shock Temp – 96.2 Heart Rate 140 Respirations 40 WBC 3000 Source of infection – elbow wound Organ dysfunction – confused, urine output of 12 cc per hour (min 42 per weight) Blood pressure of 90/40 with a MAP of 56.5 A 50 year old woman is thought to be in septic shock. What physical assessment findings would you expect to find to confirm this type of shock?