Exam 38: Multiple Organ Dysfunction Syndrome

A critically ill patient who is being mechanically ventilated has a temperature of 97.8°F.What nursing intervention is priority?

Which nursing interventions should be implemented to help prevent the development of multiple organ dysfunction syndrome (MODS)in a critically ill patient who is being mechanically ventilated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient develops systemic inflammatory response syndrome (SIRS)after acute pancreatitis.The patient's wife says,"I thought he didn't have any infection." How should the nurse respond?

The nurse is caring for a patient with multiple organ dysfunction syndrome.Which interventions would help optimize tissue perfusion for this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

The nurse is admitting a patient into the intensive care unit and is planning preventative measures to avoid the onset of the systemic inflammatory response syndrome (SIRS).Which assessment findings would increase the patient's risk of developing this syndrome?

A hospitalized patient develops multiple organ dysfunction syndrome (MODS).Which assessment findings would be the best indication of oxygenation status? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient is in the intensive care unit with multiple organ dysfunction syndrome.Which assessment finding would suggest to the nurse that the patient is experiencing failure of the gastrointestinal system?

A patient with a history of alcoholism and esophageal varices was admitted to the intensive care unit and developed multiple organ dysfunction syndrome.Which laboratory results would confirm the nurse's suspicion of hepatic involvement?

A patient admitted with an infected wound is demonstrating signs of improvement.The nurse would attribute this improvement to which physiologic process?

The nurse will calculate the pressure-adjusted heart rate for a patient with cardiovascular dysfunction associated with multiple organ dysfunction syndrome (MODS).Which information must the nurse obtain before this measurement can be calculated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient who underwent transurethral resection of the prostate 5 days ago comes to the emergency department with the report of feeling "worse than before the surgery." After assessing the patient and obtaining laboratory results,the nurse notes a temperature of 96.6°F,a respiratory rate of 26,and a white blood cell (WBC)count of 3000 mm³.The nurse anticipates additional treatment for which disorder?

A patient involved in a motor vehicle accident was admitted to the intensive care unit with a closed head injury.Which clinical manifestation would warn the nurse that the patient's condition was progressing to multiple organ dysfunction syndrome (MODS)?

A patient with a foot infection says,"I can hardly walk on my foot because it is stiff and swollen." What nursing response is indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient has developed multiple organ dysfunction syndrome (MODS).The nurse would monitor for development of which classic coagulation system findings?

A patient tells the nurse that he is upset because his surgical wound is infected,and everyone else that he knows who had the same surgery did not have the same problem.How should the nurse respond to this concern?

Which blood glucose reading would the nurse evaluate as supporting the outcome measure of maintaining glycemic control in a patient at risk for multiple organ dysfunction?

The nurse would be most alert for the development of secondary pathway multiple organ dysfunction syndrome (MODS)in which patient?

A patient has developed multiple organ dysfunction syndrome (MODS).Which information should the nurse provide to the patient's family?

The healthcare team is working to prevent the development of multiple organ dysfunction syndrome (MODS)in a critically injured patient.The nurse would evaluate that these efforts have failed when which findings develop?

The nurse will gather information about which organ system to figure a patient's Sequential Organ Failure Assessment (SOFA)score?