Which Assessment Finding Should Cause a Nurse to Be Concerned

question 4

Multiple Choice

Which assessment finding should cause a nurse to be concerned that a patient is developing severe sepsis? Select all that apply.

• A) Serum creatinine level 2.0 md/dL
• B) Absent bowel sounds
• C) Onset of confusion
• D) Heart rate 54
• E) Blood pressure 148/90 mm Hg

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Definitions:

Reference Laboratory

A laboratory owned and operated by an organization outside the physician’s practice.

Morphology

The examination of the shape and configuration of living creatures and their unique structural characteristics.

Anticoagulant

A substance or medication that prevents blood from clotting, used in the treatment and prevention of blood clots.

Splinting

The application of a stabilizing device used to support and immobilize a limb or the spine to promote healing and reduce pain.