After Receiving a Handoff Report from the Night Shift,the Nurse

question 10

Multiple Choice

After receiving a handoff report from the night shift,the nurse completes the morning assessment of a patient with severe sepsis.Vital signs are: blood pressure 95/60 mm Hg,heart rate 110 beats/min,respirations 32 breaths/min,oxygen saturation ( SpO₂ ) 96% on 45% oxygen via Venturi mask,temperature 101.5° F,central venous pressure ( CVP/RAP ) 2 mm Hg,and urine output of 10 mL for the past hour.The nurse initiates which provider prescription first?

• A) Administer infusion of 500 mL 0.9% normal saline every 4 hours as needed if the CVP is less than 5 mm Hg.
• B) Increase supplemental oxygen therapy to maintain SpO₂ greater than 94%.
• C) Administer 40 mg furosemide ( Lasix ) intravenous as needed if the urine output is less than 30 mL/hr.
• D) Administer acetaminophen ( Tylenol ) 650-mg suppository per rectum as needed to treat temperature greater than 101°F.

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Definitions:

Perpetrated

Committed or carried out; used primarily in context of crimes or harmful actions.

Veracity

The obligation to tell the truth and be honest, a key ethical principle in various professions.

Male Survivors

Men who have lived through traumatic or life-threatening events, particularly used in contexts related to sexual assault, abuse, or violence.

Child Sexual Abuse

Any sexual activity with a child where consent is not or cannot be given.