Practice Question
The nurse is proving care to a client who triggered the sepsis criteria. Which action should the nurse complete first?
Answer Choices:
Correct Answer:
Draw lactate and blood cultures
Rationale:
🔶 Per Sepsis Bundle Guidelines, the nurse should first obtain blood cultures and lactate levels before administering antibiotics.
🔶 Early labs help determine the severity of sepsis (lactate >2) and guide targeted antibiotic therapy.
🔶Administering antibiotics before cultures may mask causative organisms.
🔶Norepinephrine is used later if fluid resuscitation fails.
🔶 A fluid bolus of 30 mL/kg NS is also part of the bundle, but not the first step.
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This question is from NR 341 Quiz 2 which contains 9 questions.
More Questions from This Exam
The nurse is caring for a group of clients. Which of the following clients is at risk for cardiogenic shock
Answer Choices:
A. A client who has a ventricular dysthymia.
B. A client who suffered a spinal cord injury.
C. A client diagnosed with nausea and vomiting.
D. A client diagnosed with a pulmonary embolism
The nurse is providing care to a client with a newly inserted A line. Which statement by the client demonstrates a need for further education of the A Line? Select all that apply.
Answer Choices:
A. "All my medications can be given through the A line."
B. "Blood samples can be obtained from this line.”
C. "The pressure in the left side of my heart can be measured with the A line
D. "| will let the nurse know if | change my position so the transducer can be moved."
The nurse is providing care to a client who just returned from hemodialysis. The nurse should assess for the following
Answer Choices:
A. Muscle cramps
B. Peritonitis
C. Hernia to abdominal wall
D. Neuropathy
Anurse is reviewing client laboratory data. Which of the following findings is expected for a client who has stage 4 chronic kidney disease?
Answer Choices:
A. Blood urea nitrogen (BUN) 15 mg/dL
B. Glomerular filtration rate (GFR) 14 mL/min
C. Blood creatinine 11 mg/dl
D. Blood potassium 3.7 mEq/L
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Pharmacology
- Answer Choices: 4
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