How does the nurse caring for a client with septic shock recognize that severe tissue hypoxia is present?    

The nurse is conducting triage under mass casualty conditions. A patient who is oriented x3, heart rate 112, BP 90/78, respirations 32, O2 saturation 85% on room air is experiencing hypovolemic shock due to a penetrating wound to the upper chest. What triage tag would the nurse assign to this patient? 

How do bacteria damage the endothelium in blood vessels during sepsis?

A 59 year old male patient has full thickness burns on both of the legs on the back, front and back of the trunk, both arms on the front and back, and front and back of the head and neck. The patient weighs 85 kg. Use the Parkland Burn Formula: You’ve already infused fluids during the first 8 hours. Now what will you set the flow rate during the next 16 hours (mL/hr) based on the total you calculated?_______ml/hr Round to the nearest whole number

A 45 year old female patient has superficial partial thickness burns on the posterior head and neck, front of the left arm, front and back of the right arm, posterior trunk, front and back of the left leg, and back of right leg. The patient weighs 91 kg. Use the Parkland Burn Formula to calculate the total amount of Lactated Ringers that will be given over the next 24 hours? _________ml’s Round to the nearest whole number

The nurse is teaching a course on snake bites. All of the following statements are correct when teaching about “pit vipers”  except.    

The nurse enters her patients room and finds the patient pale, diaphoretic and lethargic with a BP of 78/40 and a heart rate of 40 beats per minute. A 12 lead EKG reveals a ST elevation and an elevated Troponin T. The nurse suspects the patient is experiencing which type of shock?

The nurse is concerned about a postoperative client with blood pressure (BP) of 90/60 mm Hg, heart rate of 80 beats/min, and respirations of 22 breaths/min. What is the appropriate nursing action?      

An experienced nurse cares for clients during a community-wide disaster drill. One of the new nurses asks, “Why are the individuals with black tags not receiving any care?” How should the experienced nurse respond?

During severe septic shock, Multi-System Organ Dysfunction (MOD) is primarily the result of the production of _________ that cause tissue hypoxia and death.