Which of the following assessment findings should the nurse report that indicates the patient is in the compensatory (early) stage of septic shock?

  Peritoneal and blood cultures are sent to the lab and focused assessments are completed. IV Normal Saline is started at 100cc/hr. The following assessment data is obtained. Anxious and restless in bed Oriented to person and place Shallow depth of respirations Auscultated lung fields clear throughout 2+ radial pulses, 1+ pedal pulses Capillary refill >3 seconds Skin cool and pale Diminished bowel sounds Client denies chest pain, heartburn, and nausea Time 1600 1700 1745 2120 2230 0200 0615 0730 Unit Pre-op Surgery Post-op MS Vital signs Temperature 98.9° F (37.2° C) 99.5° F (37.5° C)     100.9° F (38.3° C) 101.6° F (38.7° C) 102.3° F (39.1° C) 102.5° F (39.2° C) Heart rate 89 beats/min 95 beats/min     88 beats/min 108 beats/min 116 beats/min 120 beats/min Cardiac rhythm NSR NSR     NSR ST ST ST  Blood pressure 145/67 mm Hg 126/60 mm Hg     120/60 mm Hg 108/57 mm Hg 95/51 mm Hg 90/48 mm Hg Respiratory rate 18 breaths/min 18 breaths/min     22 breaths/min 24 breaths/min 28 breaths/min 28 breaths/min O2 saturation 95% 94%     98% 92% 90% 88% O2 device None None     2L NC 2L NC 4L NC 50% VM Pain Denies Denies     Abdomen 4/10 Abdomen 4/10 Abdomen 6/10 Abdomen 6/10 Capillary blood glucose   148 mg/dL (8.2 mmol/L)   136 mg/dL (7.6 mmol/L) 186 mg/dL (10.33 mmol/L) 205 mg/dL (11.39 mmol/L) 260 mg/dL (14.4 mmol/L) Labs                 RBC   4.8 × 1012/L     4.9 × 1012/L     4.8 × 1012/L WBC   11,000/mm3 (11 109/L)     11,800/mm3 (11.8 × 109/L)     16,000/mm3 (13 × 109/L) Platelet   110,000/mm3 (110 × 109/L)     100,000/ mm3 (100 × 109/L)     90,000/ mm3 (90 × 109/L) BUN   72 mg/dL (25.71 mmol/L           79 mg/dL (28.21 mmol/L Creatinine   4.8 × 1012/L           6.3 × 1012/L APTT   33 sec           55 sec INR   1.3           1.7 Lactate               4.2 mmol/L (41.53 mg/dL) Arterial blood gas             pH               7.22 PaO2               60 mm Hg PaCO2               55 mm Hg HCO3−               20 mEq/L Cultures                 Peritoneal               Pending Blood               Pending   What is the most likely explanation for this client’s condition?

31. are those however, whose needs

A patient with a history of status epilepticus is admitted to the hospital for seizures. Which question would the nurse make sure to ask the patient about their seizure medications? Select all that apply.

Monosodium urate crystals have __________ birefringence

Approximately how many protein-encoding genes are found in the human genome?

Nucleic acids are long polymers of repeating subunits called ________.

A client admitted with shock has a urinary output of 15 ml/hr. The nurse understands that the compensatory physiologic mechanism that leads to altered urinary output is

The frequency of heterozygosity for the sickle-cell anemia allele in tropical regions is unusually high, presumably because this reduces the frequency of malaria (which can be fatal). Such a relationship is related to which of the following?

Which of the following characteristics is NOT shared by extant birds and extant reptiles?