Sepsis

A 68 year old patient comes into the ER from a SNF with AMS. Her temp is 101.7, HR 102, and RR 24. Her foley catheter is cloudy and has sediment. What type of sepsis is this patient showing?

• SIRS

• Sepsis

• Severe Sepsis

• Septic Shock

A 52 year old patient is admitted to the unit with pneumonia. His WBCs are 16.2, HR in the 120s, BP 73/50 MAP 58. The doctor orders a 2L NS bolus. After the bolus is given the new HR is in the 100s and BP is 80/55 MAP 62. What type of sepsis is this patient showing?

• SIRS

• Sepsis

• Severe Sepsis

• Septic Shock

What is not an abnormal finding you would see with Sepsis?

• WBCs 14.5

• Temperature 100.9

• MAP of 60

• Documented UTI

A patient is admitted to the ED after sustaining abdominal injuries and has an open femur fracture. The patient is pale and diaphoretic. the vitals are temp 96.5, HR 130, and BP 50/40. What type of shock do you suspect?

• Hypovolemic

• Cardiogenic

• Neurogenic

• Septic

Which client should be assessed for cardiogenic shock?

• A 60 y/o with a UTI

• A 55 y/o with a MI

• A 16 y/o with a full body burn

• A 19 y/o with fibromyalgia

Which of the following puts a client at risk of neurogenic shock?

• Pneumonia

• Cardiomyopathy

• GI bleed

• Gun show wound

A nurse is assessing a client. Which s/s indicates the patient is in shock?

• Decreased thirst

• Hypertension

• Acute confusion

• Bounding pulses

A patient who is in cardiogenic shock has a urine output 20mL/hr. When further assessing the patient's renal function, which additional finding would you expect?

• Increased serum creatine

• Decreased urine sodium

• Normal BUN

• Decreased Urine Specific gravity