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septic shock questions Questions and Answers 2024/202

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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 ...

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septic shock questions Questions and
Answers 2024/2025
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

 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.




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


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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

 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

4


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Hydrocortisone

 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

 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

4. Inappropriate clotting with microthrombi forming in some organ capillaries

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