American Nurses Credentialing Center (ANCC) Practice Exam 2025 – Comprehensive All-in-One Guide for Exam Success!

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In managing a patient with sepsis, what system is critical for determining the next steps in treatment?

Gastrointestinal

Adrenal

The adrenal system is crucial in managing a patient with sepsis because it plays a significant role in the body's stress response and the regulation of various hormones, including cortisol. In sepsis, the body's demand for glucocorticoids like cortisol increases due to the inflammatory response and stress on bodily systems. The adrenal glands may become insufficient, leading to adrenal insufficiency, which can complicate the clinical picture and treatment plan.

Assessment of the adrenal function is vital since adequate cortisol levels help modulate the immune response, maintain blood pressure, and support glucose metabolism, all of which are essential for patient stability in sepsis management. If a patient is found to be in adrenal crisis or has signs of adrenal insufficiency, this will inform practitioners to consider steroid therapy as part of the treatment plan.

While the gastrointestinal, cognitive, and respiratory systems are also important in the context of sepsis, especially for assessing potential organ dysfunction, it is the adrenal response and management that plays a pivotal role in guiding the treatment approach and addressing any hormonal insufficiencies that may arise.

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Cognitive

Respiratory

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