Please Read the Clinical Scenario, and Then Answer the Question

question 28

Multiple Choice

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
Jennifer is a 13-year-old girl with cerebral palsy, who came to your children’s hospital for a posterior spinal fusion, where her spine was straightened with rods that were surgically implanted. She tolerated the procedure well, but now 24 hours after the lengthy operation, her blood pressure is 70/25, with a heart rate of 150, fever of 104 degrees, and breathing deeply and rapidly. Whereas several hours ago her vital signs were stable and she was talking to you, she now seems to show no interest in interacting with anybody. Of note, her incision site down her back is swollen, red, and oozing a cloudy white substance. You call the attending physician, who rushes to the bedside.
-The doctors decide that Jennifer is septic,and administer several boluses of normal saline while having you place her on vasoactive drugs to increase her blood pressure.What are the important next steps?

• A)respiratory support,blood cultures,and antibiotics
• B)wound drainage and antibiotics
• C)antiseizure regimen,blood cultures,and antibiotics
• D)respiratory support and antifever therapy

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Definitions:

Relationship-oriented

A focus or preference for building and maintaining strong interpersonal connections and emphasizing relationships in various contexts.

Self-esteem

Feelings about and evaluations of oneself.

Task-oriented Leaders

Leaders who focus primarily on the tasks that need to be performed to meet certain goals or objectives.

Out Guide

A placeholder used in filing systems to mark the location of a file that has been removed, ensuring that files are returned to their correct place.