A patient with a contaminated abdominal wound develops hypotension, fever, warm flushed skin, and rapid breathing several days after admission. Which initial action is most appropriate?
Correct answer: A. Obtain ordered blood cultures and give antibiotics promptly
- A. Obtain ordered blood cultures and give antibiotics promptly
- B. Restrict fluids until the fever has resolved
- C. Apply a tight abdominal binder immediately
- D. Give a sedative before reassessing vital signs
Explanation
This pattern suggests septic shock, in which infection-related vasodilation causes hypotension and warm skin early in the course. Cultures should be obtained promptly and prescribed broad-spectrum antibiotics started without an unnecessary delay.
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About Burns and Trauma Nursing
Covers the initial and continuing care of patients with burns, haemorrhage, fractures, head injury, chest trauma and shock. It includes burn depth and surface-area estimation, airway protection, fluid resuscitation, wound care, infection prevention, pain management and the distinction between hypovolaemic, septic and neurogenic shock.
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