Difficulty: Medium
Average Score: 93%
Simulated
The nurse is caring for a client with suspected sepsis. After reviewing the client's vital signs, which prescription by the primary healthcare provider (PHCP) should the nurse administer first? See the images below.
Correct answer
D
Rationale
This client is in shock. A blood pressure of 90/60 mm Hg is clinical hypotension combined with the client's tachycardia. The client needs immediate fluid volume resuscitation to prevent further clinical decline. Sepsis is a medical emergency, and the client will require prompt antibiotics. Still, it will not prioritize treating the client's hypovolemia which is the immediate concern illustrated by the low blood pressure.