A Patient Who Has Just Been Admitted with Septic Shock

question 5

Multiple Choice

A patient who has just been admitted with septic shock has a BP of 70/46, pulse 136, respirations 32, temperature 104.0° F, and blood glucose 246 mg/dl. Which order will the nurse accomplish first?

• A) Start insulin drip to maintain blood glucose at 110 to 150 mg/dl.
• B) Give normal saline IV at 500 ml/hr.
• C) Titrate norepinephrine (Levophed) to keep MAP at 65 to 70 mm Hg.
• D) Infuse drotrecogin-a (Xigris) 24 mcg/kg.

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Definitions:

Aggression

The intentional infliction of physical or psychological harm on others.

Prosocial Behavior

Behavior that benefits others, such as helping, cooperation, and sympathy.

Altruism

Unselfish acts or behavior by which an individual or group benefits others at their own expense, without expectation of reward or recognition.

Bystander Effect

A social factor that affects prosocial behavior: As the number of bystanders at an emergency increases, the probability that the victim will receive help decreases, and the help, if given, is likely to be delayed.