{"id":143122,"date":"2024-09-22T20:03:32","date_gmt":"2024-09-22T20:03:32","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=143122"},"modified":"2024-09-22T20:03:35","modified_gmt":"2024-09-22T20:03:35","slug":"a-nurse-is-caring-for-a-73-year-old-client-in-the-emergency-department-ed","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/22\/a-nurse-is-caring-for-a-73-year-old-client-in-the-emergency-department-ed\/","title":{"rendered":"A nurse is caring for a 73-year-old client in the emergency department (ED)"},"content":{"rendered":"\n<p>A nurse is caring for a 73-year-old client in the emergency department (ED)<\/p>\n\n\n\n<p>Exhibits<br>It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications?<br>A.<br>Insert a nasogastric (NG) tube.<\/p>\n\n\n\n<p>B.<br>Type and cross-match for 2 units of packed RBCs.<\/p>\n\n\n\n<p>C.<br>Administer broad-spectrum antibiotics.<\/p>\n\n\n\n<p>D.<br>Measure lactate level.<\/p>\n\n\n\n<p>E.<br>Rapidly administer 30 ml\/kg of normal saline.<\/p>\n\n\n\n<p>F.<br>Obtain blood cultures.<\/p>\n\n\n\n<p>G.<br>Obtain a urine specimen.<\/p>\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\"><strong>The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n<p>The correct actions the nurse should complete in the first hour to manage sepsis and prevent further complications are:<\/p>\n\n\n\n<p><strong>C. Administer broad-spectrum antibiotics.<\/strong><br><strong>D. Measure lactate level.<\/strong><br><strong>E. Rapidly administer 30 ml\/kg of normal saline.<\/strong><br><strong>F. Obtain blood cultures.<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Explanation:<\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Administer Broad-Spectrum Antibiotics (C)<\/strong>: Time is critical in managing sepsis. The Surviving Sepsis Campaign guidelines recommend administering broad-spectrum antibiotics within the first hour of recognizing sepsis. This helps target the underlying infection and is essential to reduce morbidity and mortality.<\/li>\n\n\n\n<li><strong>Measure Lactate Level (D)<\/strong>: Lactate levels are important indicators of tissue perfusion and can guide the severity of sepsis. Elevated lactate levels suggest inadequate tissue oxygenation and can help assess the effectiveness of resuscitation efforts.<\/li>\n\n\n\n<li><strong>Rapidly Administer 30 ml\/kg of Normal Saline (E)<\/strong>: Fluid resuscitation is crucial in sepsis management to restore intravascular volume and improve circulation. The guideline recommends administering at least 30 ml\/kg of crystalloid fluids within the first hour to counteract hypoperfusion and stabilize blood pressure.<\/li>\n\n\n\n<li><strong>Obtain Blood Cultures (F)<\/strong>: Before initiating antibiotic therapy, obtaining blood cultures is vital for identifying the causative organism. This allows for targeted therapy, which can significantly improve outcomes. However, cultures should ideally be drawn before the administration of antibiotics, as they may affect the sensitivity results.<\/li>\n<\/ol>\n\n\n\n<p><strong>Actions Not Selected<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Insert a nasogastric (NG) tube (A)<\/strong>: This is not a priority in the immediate management of sepsis and may only be necessary if there are concerns about gastric decompression or nutritional needs.<\/li>\n\n\n\n<li><strong>Type and cross-match for 2 units of packed RBCs (B)<\/strong>: While this may be necessary if the client shows signs of hemorrhagic shock or significant anemia, it is not a first-hour priority unless there are clear indications.<\/li>\n\n\n\n<li><strong>Obtain a urine specimen (G)<\/strong>: Although important for evaluating renal function and potentially identifying sources of infection, obtaining a urine specimen is less critical in the immediate management of sepsis compared to the actions listed above.<\/li>\n<\/ul>\n\n\n\n<p>Overall, the first hour in sepsis management focuses on aggressive resuscitation, early identification of the causative organism, and initiation of broad-spectrum antibiotics to save lives.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse is caring for a 73-year-old client in the emergency department (ED) ExhibitsIt has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications?A.Insert a nasogastric (NG) tube. B.Type and cross-match for 2 units of packed [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-143122","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/143122","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=143122"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/143122\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=143122"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=143122"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=143122"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}