The nurse is caring for a client who has septic shock. Which of the following findings would indicate that the client is meeting the treatment goals?A. Mean arterial pressure (MAP) 67 mmHgB. Urine output (UOP) 20 ml/hrC. Capillary blood glucose 253 mg/dLD. Serum pH level of 7.33
Question
The nurse is caring for a client who has septic shock. Which of the following findings would indicate that the client is meeting the treatment goals?A. Mean arterial pressure (MAP) 67 mmHgB. Urine output (UOP) 20 ml/hrC. Capillary blood glucose 253 mg/dLD. Serum pH level of 7.33
Solution
The treatment goals for a client with septic shock would primarily be focused on maintaining adequate blood pressure and organ perfusion.
A. Mean arterial pressure (MAP) 67 mmHg: This is a positive sign. A MAP of 60-70 mmHg is generally needed to maintain adequate organ perfusion and oxygenation.
B. Urine output (UOP) 20 ml/hr: This is a concerning sign. A urine output of less than 30 ml/hr may indicate inadequate kidney perfusion.
C. Capillary blood glucose 253 mg/dL: This is a concerning sign. Hyperglycemia can occur in response to stress, but persistent high blood glucose levels can lead to complications.
D. Serum pH level of 7.33: This is slightly on the lower side, indicating mild acidosis which can occur in septic shock due to lactic acidosis.
So, the best answer would be A. Mean arterial pressure (MAP) 67 mmHg, as it indicates that the client is maintaining a blood pressure sufficient for organ perfusion. However, the other parameters also need to be addressed and brought within normal ranges.
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