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septic shock questions with correct answers

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septic shock questions with correct answers Which parameter indicates that the expected outcome of the sepsis resuscitation bundle has been met for a patient with septic shock? 1 Lactate level of 4 mg/dL 2 Mean arterial blood pressure of 55 mm Hg 3 Negative blood cultures after 24 hours 4...

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  • October 7, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
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  • Septic License
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EmillyCharlotte
EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024




septic shock questions with correct
answers

Which parameter indicates that the expected outcome of the sepsis resuscitation bundle has been met

for a patient with septic shock?


1


Lactate level of 4 mg/dL


2


Mean arterial blood pressure of 55 mm Hg


3


Negative blood cultures after 24 hours


4


Presence of anuria for less than 24 hours - Answer✔✔-1 = lactate level of 4 mg/dL




Effective fluid resuscitation will restore tissue perfusion, correcting lactic acidosis and meeting the goal

of normalizing the lactate level. A lactate level of 4 mg/dL falls within the normal range of 3 to 7 mg/dL.

Mean arterial pressure in septic shock should be maintained at 65 mm Hg for adequate tissue perfusion.

Blood cultures may take 3 days to grow; appropriate treatment is initiated before culture results. The

result of treatment of sepsis is to maintain a urine output of at least 20 mL/hr.


Page 1/16

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


A patient with human immune deficiency virus (HIV) is admitted with a bacterial infection. According to

the Modified Early Warning System (MEWS), which parameter would the nurse assess to determine the

patient's risk for septic shock? Select all that apply. One, some, or all responses may be correct.


1. Heart rate


2. Lung sounds


3. Heart rhythm


4. Diastolic blood pressure


5. White blood cell (WBC) count - Answer✔✔-1. heart rate




The nurse using the MEWS system should assess the heart and respiratory rate, systolic blood pressure,

level of consciousness, temperature, and urine output. The lung sounds, heart rhythm, diastolic blood

pressure, and WBC are not factors.


Which drug may be used to treat adrenal insufficiency for a patient with sepsis and septic shock?


1


Insulin


2


Heparin


3


Dobutamine


Page 2/16

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


4


Hydrocortisone - Answer✔✔-4. hydrocortisone


After a cholecystectomy, an older-adult patient developed breathing difficulty and had a heart rate of

more than 95 beats/min, a breathing rate of 20 beats/min, a temperature of 102.4ºF (39.1ºC), and an

elevated blood glucose level. Which assessment will help confirm this patient's condition?


1


Blood culture


2


Thyroxin level


3


Hemoglobin level


4


Blood pressure level - Answer✔✔-1. blood culture


For which reason does reduced urine output occur in patients experiencing sepsis during systemic

inflammatory response syndrome?


1. Impaired oxygenation and perfusion


2. Production of proinflammatory cytokines


3. Capillary leaks, allowing plasma to leak into the tissues




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