233 Med Surge 3 Final Exam 2024 Solved 100% Correct

The nurse plans to administer a low dose prescription for dopamine (Intropin) to a client who is in septic shock. What physiological parameter should the nurse use to evaluate the therapeutic response? {Ans: Urinary output}Near Drowning {Ans: Nonfatal drowning is defined as survival for at least 24 hours after submersion that caused a respiratory arrest. The most common consequence is hypoxemia. The nonfatal drowning process involves the onset of hypoxia, hypercapnia, bradycardia, and arrhythmias. If there is a violent struggle associated with the nonfatal drowning episode, exercise-induced acidosis and tachypnea can result in aspiration. Hypoxia and acidosis cause eventual apnea and loss of consciousness. When the victim loses consciousness and makes a final effort to breathe, the terminal gasp occurs. Water then moves passively into the airways prior to death. After resuscitation, hypoxia and acidosis are the major complications experienced by a person who has experienced nonfatal drowning; immediate intervention in the ED is essential.}HIV CD4 count- pathology {Ans: The CD4+ count serves as the major laboratory indicator of immune function and prophylaxis for opportunistic infections, and is the strongest predictor of subsequent disease progression and survival. An adequate CD4+ response for most patients on ART is