A nurse is caring for a 73-year-old client in the emergency department (ED). It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications?

The correct actions to manage sepsis in the first hour are D, E, F, and G. Firstly, measuring lactate level (D) helps assess tissue perfusion and guides fluid resuscitation. Administering broad-spectrum antibiotics (E) promptly targets the causative pathogen. Rapidly administering 30 mL/kg of normal saline (F) aids in restoring intravascular volume. Obtaining blood cultures (G) helps identify the specific pathogen and guides targeted antibiotic therapy. These actions are crucial in early sepsis management to prevent further complications. Other choices are incorrect as obtaining a urine specimen (A) is not a priority, type and cross-matching for packed RBCs (B) is not indicated unless there is severe hemorrhage, and inserting an NG tube (C) is not necessary in the initial management of sepsis.