Difficulty: Medium
Average Score: 85%
Simulated
A female client admitted with possible pneumonia and systemic inflammatory response syndrome (SIRS) is manifesting low oxygen saturation rates. Which additional finding(s) associated with SIRS should the nurse report to the health care provider (HCP)? Select all that apply.
Correct answer
A,B,C,D
Rationale
Respiratory rate -22, heart rate -90, hypothermia <36°C, and WBC >12,000/mm³ meet SIRS criteria, indicating systemic inflammation.