A previously stable postoperative client on the medical-surgical unit now has a blood pressure of 88/40 mm Hg and a heart rate of 124 beats/min. After placing the client in Trendelenburg position, which action does the nurse perform next?

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Question 1 of 5

A previously stable postoperative client on the medical-surgical unit now has a blood pressure of 88/40 mm Hg and a heart rate of 124 beats/min. After placing the client in Trendelenburg position, which action does the nurse perform next?

Correct Answer: A

Rationale: A sudden drop in blood pressure and elevated heart rate indicate a critical deterioration requiring the RRT for immediate intervention, rather than delayed reassessment or premature Code Blue.

Question 2 of 5

A positive culture always means infection.

Correct Answer: B

Rationale: A positive culture indicates presence of organisms but does not always signify active infection.

Question 3 of 5

Which statement is not true regarding viruses?

Correct Answer: C

Rationale: Viruses contain either DNA or RNA, not both, making the omitted option false; thus, 'ALL are true' is incorrect.

Question 4 of 5

The IP is teaching nurses how to assess injection risks in patients. Depletion of what cell type provides the best indication of susceptibility to most bacterial infections?

Correct Answer: C

Rationale: Neutrophils are the primary responders to bacterial infections; their depletion (neutropenia) significantly increases susceptibility.

Question 5 of 5

A pandemic differs from an epidemic in that:

Correct Answer: D

Rationale: A pandemic spans multiple countries or continents, unlike an epidemic, which is more localized.

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