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:

Executive Authority

Refers to the part of government responsible for implementing laws and running the day-to-day affairs of a state, typically vested in a president, prime minister, or monarch.

Ottoman Empire

A historical empire founded at the end of the 13th century in northwest Anatolia, it expanded to include vast territories in Southeast Europe, Western Asia, and North Africa before its dissolution after World War I.

International Tensions

Strained relations between nations due to disputes, conflicts of interest, ideologies, or competition, which can sometimes lead to confrontation or war.

Crimean War

A military conflict from 1853 to 1856 in which Russia lost to an alliance of France, Britain, the Ottoman Empire, and Sardinia, highlighting the need for Russian reform.