- To take the test online, go to our secure Web site at www.nursingcenter.com/ce/ajn. View instructions for taking the test online there.
- If you prefer to submit your test by mail, record your answers in the test answer section of the CE enrollment form below. Each question has only one correct answer. You may make copies of the form.
- Complete the registration information and course evaluation. Mail the completed enrollment form and registration fee to: Lippincott Professional Development, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. You will receive your certificate in four to six weeks. For faster service, include a fax number and we will fax your certificate within two business days of receiving your enrollment form. You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.
- Registration deadline is February 29, 2020.
DISCOUNTS AND CUSTOMER SERVICE
- Send in together two or more tests from any nursing journal published by Lippincott Professional Development (LPD), and deduct $0.95 from the price of each test.
- We also offer CE accounts for hospitals and other health care facilities online at www.nursingcenter.com. Call 1-800-787-8985 for details.
LPD will award the number of contact hours indicated for each continuing nursing education activity. LPD is accredited as a provider of continuing nursing education by the Commission on Accreditation of the American Nurses Credentialing Center.
These activities are also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for the number of contact hours indicated. LPD is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida #50-1223.
Managing Sepsis and Septic Shock: Current Guidelines and Definitions
To provide information about the new Surviving Sepsis Campaign treatment guidelines and the Third International Consensus Definitions for Sepsis and Septic Shock definitions and tools.
After completing this educational activity, you should be able to
- outline the new treatment guidelines and changes in the sepsis bundle interventions.
- discuss how the new tools can be used to predict adverse outcomes in patients with infection.
- Sepsis accounts for what proportion of all deaths in U.S. hospitals?
- nearly one-tenth
- about one-quarter
- more than one-third
- Back in 1991, systemic inflammatory response syndrome was said to be characterized by more than one of several clinical symptoms, including
- abnormally high or low temperature.
- decreased sedimentation rate.
- decreased respiratory rate.
- The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) focus on sepsis as a multifaceted response to infection that results in
- platelet aggregation.
- organ dysfunction.
- immune deficiency.
- The new Sepsis-3 definitions no longer focus on which of the following in the presence of infection?
- Septic shock is now defined as a subset of sepsis in which the patient has profound
- The Sequential Organ Failure Assessment (SOFA) evaluates 6 physiologic functions, one of which is
- To calculate a patient's SOFA score, it is necessary to obtain which of the following laboratory values?
- The quick SOFA (qSOFA) relies on 3 variables: mentation, systolic blood pressure, and
- respiratory rate.
- oxygen saturation.
- In non-ICU patients, the qSOFA score
- predicts an elevated risk of death.
- provides an early warning of sepsis.
- identifies the need for transfer to the ICU.
- A serum lactate level greater than 2 mmol/L suggests
- kidney injury.
- myocardial infarction.
- The Surviving Sepsis Campaign (SSC) guidelines recommend fluid resuscitation with at least what amount of fluid within 3 hours of sepsis-induced hypoperfusion?
- 15 mL/kg
- 30 mL/kg
- 45 mL/kg
- The SSC guidelines recommend administration of IV antibiotics within how many minutes of suspected sepsis or septic shock?
- In the study used to develop the new Sepsis-3 definitions, what percentage of the patients with a suspected infection who scored 2 or higher on the qSOFA also had a positive SOFA score?
- nearly 45%
- about 60%
- more than 75%
- An abnormal physiologic parameter of the SOFA scoring system is platelets below
- 100 x 103/mm3.
- 200 x 103/mm3.
- 300 x 103/mm3.
- Which of the following bilirubin values is significant for SOFA scoring?
- 1 mg/dL
- 2 mg/dL
- 3 mg/dL
- Which of the following Glasgow Coma Scale scores is significant for SOFA scoring?
- Which of the following values is significant for SOFA scoring?
- urine output of 550 mL/day
- urine output of 600 mL/day
- creatinine of 2 mg/dL or higher
- Which of the following is significant for qSOFA scoring?
- any change in mental status
- respiratory rate of 20 bpm
- systolic blood pressure over 100 mmHg