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studentstudent studentstudent
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A month ago
A patient in septic shock has been prescribed a vasopressor medication. Which assessment finding would the nurse evaluate as indicating the need to question this order?
1. The patient's mentation has not improved.
2. The patient's heart rate is 50 bpm.
3. The patient's urine output for the last hour was 10 mL.
4. The patient's breath sounds include crackles.
Textbook 

High-Acuity Nursing


Edition: 6th
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lurielbanklurielbank
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A month ago
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The answer is 3
Rationales:
1. The patient's mentation has not improved because the shock state continues. This is not a reason to question the order.
2. The low heart rate may relate to the shock state. It is not a reason to question the order.
3. Vasopressor medications are not effective if there is inadequate circulating blood volume. Poor urine output is one measure of insufficient fluid resuscitation.
4. Crackles in the lungs indicate potential fluid overload. The use of vasopressor medications may reduce the amount of IV fluid needed to support the patient's perfusion.
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wrote...
A month ago
 The patient's urine output for the last hour was 10 mL.
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