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The Nurse Is Reviewing Information About the Patient Who Was

Question 24

Multiple Choice

The nurse is reviewing information about the patient who was admitted to the hospital three days ago with urosepsis. The nurse reviews the information regarding recent assessments and diagnostic testing that have been completed. Which of the following physician orders would be expected?  Diagnostic Tests and Assessment  Results  Apical pulse 132bpm Respirations 26 per minute  Blood pressure 88/46 Level of Consciousness  Obtunded  Urinary output 25 mL of cherry-colored urine produced in  Foley catheter drainage bag during the last  two hours  Assessment of respiratory system  New moist cough with expectoration of  bloody sputum, complaints of dyspnea  Assessment of cardiovascular system  Cool, dry extremities with thready  peripheral pulses \begin{array} { | l | l | } \hline \text { Diagnostic Tests and Assessment } & \text { Results } \\\hline \text { Apical pulse } & 132 \mathrm { bpm } \\\hline \text { Respirations } & 26 \text { per minute } \\\hline \text { Blood pressure } & 88 / 46 \\\hline \text { Level of Consciousness } & \text { Obtunded } \\\hline \text { Urinary output } & \begin{array} { l } 25 \mathrm {~mL} \text { of cherry-colored urine produced in } \\\text { Foley catheter drainage bag during the last } \\\text { two hours }\end{array} \\\hline \text { Assessment of respiratory system } & \begin{array} { l } \text { New moist cough with expectoration of } \\\text { bloody sputum, complaints of dyspnea }\end{array} \\\hline \text { Assessment of cardiovascular system } & \begin{array} { l } \text { Cool, dry extremities with thready } \\\text { peripheral pulses }\end{array} \\\hline\end{array}


A) Administer oxygen to keep oxygen saturation levels above or equal to 95%.
B) Ambulate patient three times each day as tolerated.
C) Apply hot compresses to painful joints.
D) Consult physical therapy for active range of motion exercises.

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