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When assessing a client for early sepsis, which assessment finding would most concern the nurse?

1 Jahrs vor
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1. "Because of the cardiogenic shock, there is a decrease in the blood flow through the kidneys."

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There are three categories of acute renal failure: prerenal, intrarenal, and postrenal. Causes of prerenal failure occur outside the kidney and include poor perfusion and decreased circulating volume resulting from such factors as trauma, septic shock, impaired cardiac function, and dehydration. In this case of severe myocardial infarction, there was a decrease in perfusion of the kidneys caused by impaired cardiac function. An obstruction within the urinary tract, such as from kidney stones, tumors, or benign prostatic hypertrophy, is called postrenal failure. Structural damage to the kidney resulting from acute tubular necrosis is called intrarenal failure. It is caused by such conditions as hypersensitivity (allergic disorders), renal vessel obstruction, and nephrotoxic agents.

Which of the following is the most important goal of nursing care for a client who is in shock quizlet?

106. Which of the following is the most important goal of nursing care for a client who is in shock? 1. Manage fluid overload.

What is the primary goal for the care of a client who is in shock?

Abstract. The objective in managing shock is to prevent anaerobic metabolism in the tissue. In the resuscitation of the acutely hypovolemic patient, volume resuscitation is the key. Drugs are seldom needed to accomplish this goal.

Which neurologic change indicates that the client is in the progressive stage of shock?

For example, a drop in the systolic blood pressure to 90 mmHg is an indication that the shock state deteriorated from a compensatory stage to a decompensatory, or progressive stage.

Which indicates hypovolemic shock in a client who has had a 15% blood loss?

The answer is D. During stage 2 or class II of hypovolemic shock, the cardiac output is falling even more due to volume loss. This is when the patient has lost 15-30% of volume.

assessing client early sepsis assessment finding concern nurse

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