A 78-Kg Patient with Septic Shock Has a Urine Output

question 5

Multiple Choice

A 78-kg patient with septic shock has a urine output of 30 mL/hr for the past 3 hours.The pulse rate is 120/minute and the central venous pressure and pulmonary artery wedge pressure are low.Which order by the health care provider will the nurse question?

• A) Give PRN furosemide (Lasix) 40 mg IV.
• B) Increase normal saline infusion to 250 mL/hr.
• C) Administer hydrocortisone (Solu-Cortef) 100 mg IV.
• D) Titrate norepinephrine (Levophed) to keep systolic BP >90 mm Hg.

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Definitions:

Personality Disorder

A type of mental disorder marked by rigid and unhealthy patterns of thinking, functioning, and behaving, which significantly impair social, work, and interpersonal functioning.

Psychological Disorder

A pattern of behavioral or psychological symptoms that impact multiple life areas and/or cause significant distress for the person experiencing them.

DSM-IV

The fourth version of the Diagnostic and Statistical Manual of Mental Disorders serves as a reference for identifying mental health conditions.

Axis V

Axis V refers to the Global Assessment of Functioning scale, historically used in psychiatric diagnoses to rate an individual's overall psychological, social, and occupational functioning.