Page 2571 - Saunders Comprehensive Review For NCLEX-RN
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assist in eliminating this option. Noting that hypoactive bowel sounds are not
suggestive of an ileus eliminates this option. Lastly, recalling that an SBP of 110 mm
Hg does not fit the criteria will assist in eliminating this option.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Complex Care: Sepsis
Health Problem: Adult Health: Cardiovascular: Shock
Priority Concepts: Clinical Judgment; Perfusion
Reference: Lewis et al. (2017), p. 1592.
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