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Question 34 ‘v’. is a 3?—year—old female who is admitted via the emergency room after her roommate
called emergency medical services (EMS). She has no significant medical historyIr and
does not know what is wrong with her. She has been feeling generally unwell for the last
few days. and today she had an episode of confusion that scared her roommate to the
extent that the roommate called EMS. Her physical examination reveals a temperature
of 101.Q°F, pulse of 110 bpm. respiratory rate of 20 breaths per minute, and blood
pressure of 9258 mm Hg. A comprehensive metabolic panel reveals a slightly elevated
blood urea nitrogen (BUNll‘creatinine but otherwise is normal. A white blood cell
differential reveals a leukocyte count of 14.000 cellspr with neutrophils of 83%. The
AGACNP knows that these values are consistent with: A. Systemic inflammatory response syndrome (SIRS) El. High—output septic shock
C. Neurogenic shock D.Multiple organ dysfunction syndrome (MODS)