{"id":141395,"date":"2024-09-21T03:20:57","date_gmt":"2024-09-21T03:20:57","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=141395"},"modified":"2024-09-21T03:20:59","modified_gmt":"2024-09-21T03:20:59","slug":"a-client-is-admitted-to-the-surgical-intensive-care-unit-following-the-removal-of-a-large-portion-of-the-intestines-due-to-a-gunshot-wound-to-the-abdomen","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/21\/a-client-is-admitted-to-the-surgical-intensive-care-unit-following-the-removal-of-a-large-portion-of-the-intestines-due-to-a-gunshot-wound-to-the-abdomen\/","title":{"rendered":"A client is admitted to the surgical intensive care unit following the removal of a large portion of the intestines due to a gunshot wound to the abdomen."},"content":{"rendered":"\n

A client is admitted to the surgical intensive care unit following the removal of a large portion of the intestines due to a gunshot wound to the abdomen. The client begins to display signs of septic shock and a sepsis protocol is initiated. Which intervention is most important for the nurse to include in the plan of care?<\/p>\n\n\n\n

A.
Maintain strict intake and output.<\/p>\n\n\n\n

B.
Assess warmth of extremities.<\/p>\n\n\n\n

C.
Keep head of bed raised 45 degrees.<\/p>\n\n\n\n

D.
Monitor blood glucose level.<\/p>\n\n\n\n

The Correct answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n

Correct Answer: D. Monitor blood glucose level.<\/strong><\/p>\n\n\n\n

In a client with septic shock, monitoring blood glucose levels is a critical intervention to include in the plan of care. Septic shock is a severe form of sepsis that leads to widespread inflammation, blood pressure instability, and potential organ failure. When the body is in septic shock, the stress response and inflammatory cytokines can cause significant metabolic changes, one of which is hyperglycemia.<\/p>\n\n\n\n

Why is blood glucose monitoring important?<\/strong> During septic shock, the body releases hormones like cortisol and catecholamines, which increase blood glucose levels. This rise in blood sugar occurs even in patients who are not diabetic. Hyperglycemia can be dangerous as it impairs immune function, contributes to inflammation, and can worsen outcomes in critically ill patients. Therefore, monitoring and managing blood glucose levels are crucial to prevent complications like increased infection rates, poor wound healing, and organ dysfunction. Additionally, keeping glucose levels under control can reduce the mortality associated with septic shock.<\/p>\n\n\n\n

Other options explained:<\/strong><\/p>\n\n\n\n