Infection and Sepsis
Infection and Sepsis ( 5 Questions)
A nurse is administering antibiotics to a client who has septic shock. The nurse understands that the goal of antibiotic therapy in septic shock is to achieve what outcome?
A benign neoplasm grows slowly and remains localized within its site of origin. It does not spread to other parts of the body or cause systemic effects.
A malignant neoplasm invades surrounding tissues and organs and destroys their normal function. It can also penetrate blood vessels or lymphatics and disseminate to distant sites, forming secondary tumors or metastases.
A benign neoplasm can differentiate into normal cells that resemble the tissue of origin. It has a well-defined shape and structure and retains some of its normal functions.
A malignant neoplasm can metastasize to distant sites via blood or lymph, creating new foci of tumor growth and increasing the complexity and severity of the disease.
Choice A reason: Eradicate the causative microorganism within 24 hours. The goal of antibiotic therapy in septic shock is to eradicate the causative microorganism as soon as possible, preferably within 24 hours of diagnosis or sooner if possible. This can reduce the bacterial load, control the infection, and prevent further complications.
Choice B reason: Reduce the inflammatory response within 48 hours is not the goal of antibiotic therapy in septic shock, as antibiotics do not directly affect the inflammatory response. Antibiotics can indirectly reduce the inflammatory response by eradicating the microorganism that triggers it, but this may take longer than 48 hours to achieve.
Choice C reason: Restore the tissue perfusion and oxygen delivery within 72 hours is not the goal of antibiotic therapy in septic shock, as antibiotics do not directly affect the tissue perfusion and oxygen delivery. Antibiotics can indirectly restore the tissue perfusion and oxygen delivery by eradicating the microorganism that causes vasodilation, hypotension, hypovolemia, and microvascular thrombosis, but this may take longer than 72 hours to achieve.
Choice D reason: Prevent the development of multiple organ dysfunction syndrome within 96 hours is not the goal of antibiotic therapy in septic shock, as antibiotics do not directly prevent the development of multiple organ dysfunction syndrome. Antibiotics can indirectly prevent the development of multiple organ dysfunction syndrome by eradicating the microorganism that causes tissue hypoxia, lactic acidosis, and organ failure, but this may take longer than 96 hours to achieve.