Overview of Shock and Sepsis Chapter 14

Multiple Choice Identify the choice that best completes the statement or answers the question. ____ ____ ____ ____ ____ ____ 1.The nurse is preparing an educational session on sepsis. Which should the nurse include as a major risk factor for the development of this health problem? 1) Immunosuppression 2) Elevated temperature 3) Pneumococcal bacteria 4) Leukocytosis on the complete blood count 2.The nurse identifies the nursing diagnosis of Ineffective Peripheral Tissue Perfusion as being appropriate for a patient with septicemia. Which intervention will address this patient’s health problem? 1)2)3)4)Monitor for cyanosis. Monitor heart rate every hour. Assess temperature every four hours. Monitor pupil reactions every eight hours. 3.An older adult patient is recovering in the intensive care unit (ICU) from septicemia. Which intervention will help prevent further infection for this patient? 1) Provide oral and skin care 2) Implement sterile wound care 3) Encourage turn, cough, and deep breathe every shift. 4) Place the Foley drainage on the bed at the patient’s feet 4.A patient is prescribed epinephrine for the prevention of anaphylactic shock. The patient states, “I thought shock was about heart failure.” Which response by the nurse is most appropriate? 1) “There are many kinds of shock that also include infection, nervous system damage, and loss of blood.” 2) “Heart failure is the most serious kind of shock; others include infection, kidney failure, and loss of blood.” 3) “There are many kinds of shock: heart failure, nervous system damage, loss of blood, and respiratory failure.” 4) “Allergic response is the most fatal type of shock; other types involve loss of blood, heart failure, and liver failure.”