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    Ati Nur 213 Lifespan 3 Proctored Exam(Fundamental Exam)
    Select All That Apply

    Exhibits Select the 4 (four) orders that are priority.

    Explanation & Rationale

    A. Cefepime 2grams IV every 12 hours: Cefepime is a broad-spectrum antibiotic, and the patient’s clinical signs, including fever, elevated WBC count, and confusion, suggest a possible infection. Immediate administration of antibiotics is critical to treat any potential infection. B. Stat lactate level: The elevated lactate level (7.0 mmol/L) is concerning for tissue hypoxia or sepsis. Monitoring lactate levels helps assess the severity of the infection or potential sepsis, and obtaining this level stat is necessary to guide further treatment. C. Fingerstick glucose every 6 hours: While monitoring blood glucose is important, it is not the highest priority in this acute situation, especially with more pressing concerns like infection and dehydration. However, it will be monitored regularly, as indicated in the provider's orders. D. Obtain a set of blood cultures: Blood cultures are essential to identify the causative organism if the patient has an infection. With signs of systemic infection and elevated WBC, blood cultures should be obtained to determine the appropriate treatment. E. Discontinue indwelling catheter: Although removing the catheter is important to reduce the risk of infection (especially with cloudy urine), it is not an immediate priority compared to addressing infection, sepsis, and fluid balance. F. Discontinue Furosemide: While discontinuing Furosemide may be important due to the patient’s low blood pressure and potential fluid imbalance, it is not the most urgent intervention compared to starting antibiotics, correcting lactate levels, and fluid resuscitation. G. 1000mL Lactated Ringer's at 170mL/hr: Given the patient’s potential sepsis and dehydration from diuresis, initiating IV fluid resuscitation with Lactated Ringer’s is a priority. This helps restore circulatory volume and supports organ function.

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