18 Questions
Which of the following best describes Systemic Inflammatory Response Syndrome (SIRS)?
A systemic exaggerated response to infection, trauma, or other insults
What criteria must be met for a patient to be classified as having SIRS?
Presence of at least 3 out of 5 specific criteria
What is the lowest acceptable Mean Arterial Pressure (MAP) for a patient to avoid progressing into SIRS?
60mmHg
What is the most common goal for the Mean Arterial Pressure (MAP) in elderly patients?
60mmHg
How many criteria from the Systemic Inflammatory Response Syndrome (SIRS) must a patient meet to be considered as having SIRS?
At least 3 criteria
What is the significance of monitoring feeding tubes in patients with an artificial airway/positive pressure ventilation?
To prevent aspiration pneumonia
Why is it important to obtain a pan-culture (cultures of urine, sputum, wound exudate) prior to starting antibiotics in septic patients?
To identify the exact organism causing the infection
How does the 1-hour timeframe for initiating treatment in sepsis relate to 'Time is Tissue'?
Delayed treatment can lead to irreversible organ damage
What is the primary cause of end organ failure in sepsis?
Low perfusion leading to cellular death
Which antibiotic is commonly used for MRSA (Methicillin-resistant Staphylococcus aureus) skin infections in the context of sepsis?
Vancomycin
How do clots contribute to end organ failure in sepsis?
By blocking blood flow to organs
What is the significance of obtaining blood cultures in septic patients over a 72-hour period?
To detect bacteria causing septicemia
What is the key difference between Systemic Inflammatory Response Syndrome (SIRS) and Sepsis?
SIRS involves a localized inflammatory response, while Sepsis is characterized by a systemic response.
Which of the following best describes the progression from Sepsis to Severe Sepsis?
Severe Sepsis includes organ dysfunction or failure, unlike Sepsis.
How does Septic Shock differ from Severe Sepsis?
Septic Shock involves profound circulatory, cellular, and metabolic abnormalities not present in Severe Sepsis.
Which of the following lab tests plays a significant role in diagnosing sepsis by indicating abnormal clotting mechanisms?
PT (Prothrombin Time)
How does aging impact the immune system in relation to sepsis?
In aging adults, sepsis may present with subtle symptoms that can be mistaken for normal aging changes.
Which nursing action is most appropriate for a patient with suspected early sepsis?
Initiating broad-spectrum antibiotics promptly
This quiz focuses on describing anatomical defense mechanisms, nursing interventions for natural defense mechanisms, the physiology of inflammation, and clinical symptoms associated with localized and systemic inflammatory responses. Analyze vital signs and physical assessment data for signs of localized infection progression. Test your knowledge on infection control and sepsis management.
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