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sleepyjonnysix sleepyjonnysix
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A month ago
It is suspected that a patient is developing SIRS. Which assessment findings would the nurse interpret as supporting this suspicion? (Select all that apply.)
1. Temperature of 96.4F (35.8C)
2. Heart rate 108/min
3. PaCO2 28 mm Hg
4. WBC 10,000/mm3
5. Respiratory rate 22/min
Textbook 

High-Acuity Nursing


Edition: 6th
Authors:
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ujesssssujesssss
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A month ago
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More questions for this book are available here
The answer is 1, 2, 3, 5
Rationales:
1. A core temperature higher than 38C (100.9F) or lower than 36C (96.8F) is a criterion for the diagnosis of SIRS.
2. Tachycardia of over 90 beats/min is a criterion for the diagnosis of SIRS.
3. PaCO2 less than 32 mm Hg is a criterion for the diagnosis of SIRS.
4. WBC greater than 12,000/mm3, less than 4,000/mm3, or greater than 10% immature (band) forms is a criterion for the diagnosis of SIRS.
5. A respiratory rate over 20/min is a criterion for the the diagnosis of SIRS.
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Good timing, thanks!
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Brilliant
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