NUR 611 Final Study Guide: Quiz 5-Sepsis/Cancer

First=line=treatment=in=a=patient=with=Breast=cancer=Stage=IIIB=(or=Stage=4)=with=local=
spread=would=first=be=which=of=the=following?

Neoadjuvant=Chemotherapy
Surgery
Hormone=therapy
Local=radiation=therapy=(high=frequency=external=beam)=-=ans--
Neoadjuvant=Chemotherapy

Which=of=the=following=is=a=recommendation=for=the=FIRST=HOUR=OF=CARE=in=a=pati
ent=in=sepsis=(spiking=a=fever=with=>2=SIRS=criteria)?

Administration=of=vasopressors=to=maintain=perfusion.

Evaluation=of=adrenal=responsiveness=(Corticol=Stimulation=Testing).

Administration=of=antibiotics=as=soon=as=cultures=have=been=sent.

Administration=of=Na+=Bicarbonate=to=address=metabolic=acidosis.=-=ans--
Administration=of=antibiotics=as=soon=as=cultures=have=been=sent.

Your=patient=in=Septic=shock=(I=use=the=term=correctly)=is=receiving=200mL/hr=of=NS,=n
orepinephrine=(Levophed)=at=0.6mcgs/kg/minute=(this=is=the=maximum=dose).=Vasopre
ssin=at=.03U/min.=His=BP=is=averaging=80/40.=Which=of=the=following=orders=will=you=a
nticipate=next?

Repeating=lactate=level=STAT.

Stopping=the=Vasopressin.

An=additional=fluid=bolus=of=1L=over=20=minutes.

Administration=of=hydrocortisone.=-=ans--Administration=of=hydrocortisone.

The=quick=sofa=score=includes=which=of=the=following=parameters?

Patient's=Lactate=level,=MAP=and=GCS.

Patient's=BUN=and=Creatinine=and=24=hour=UO.

Patient's=I=and=O=for=the=past=24=hours,=MAP=and=current=hourly=UO.

Patient's=GCS,=RR=and=sBP.=-=ans--Patient's=GCS,=RR=and=sBP.

Which=of=the=following=is=true=of=neo-adjuvants=in=the=treatment=of=cancer?