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Questions and Answers
What is the most immediate action the nurse should take for the client with pneumonia and low blood pressure?
What is the most immediate action the nurse should take for the client with pneumonia and low blood pressure?
Which criterion indicates the possible presence of SIRS in a patient?
Which criterion indicates the possible presence of SIRS in a patient?
What is the characteristic symptom of sepsis that would prompt immediate medical intervention?
What is the characteristic symptom of sepsis that would prompt immediate medical intervention?
Given the scenario, what is a potential complication that could develop if the nurse does not act quickly?
Given the scenario, what is a potential complication that could develop if the nurse does not act quickly?
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What role do blood cultures play in the management of a client with pneumonia?
What role do blood cultures play in the management of a client with pneumonia?
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Study Notes
Patient with Pneumonia and Low Blood Pressure
- A patient with pneumonia has a fever and a dangerously low blood pressure (88/58).
- The nurse must prioritize immediate action.
- The first action is to administer an IV fluid bolus.
- This bolus of 30 mL/kg is crucial for rapidly increasing the patient's intravascular fluid volume and restoring tissue perfusion.
- The reason for this is that Septic shock is caused by inflammatory mediators (e.g., cytokines) released in response to infection. This widespread vasodilation and increased capillary permeability have a negative impact on the patient's blood pressure.
- Other important actions should be considered like getting blood cultures and starting antibiotics but they are secondary to immediate fluid resuscitation.
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Description
This quiz focuses on the crucial nursing interventions for a patient presenting with pneumonia and low blood pressure. Key actions include administering IV fluid bolus to combat septic shock. Understand the importance of fluid resuscitation in restoring tissue perfusion and consider other secondary interventions.
