A patient with suspected bacterial sepsis has a blood pressure of 82/48 mmHg, cool skin and a weak rapid pulse. Which nursing action has the highest priority?
Correct answer: A. Establish intravenous access and begin prescribed isotonic fluids
- A. Establish intravenous access and begin prescribed isotonic fluids
- B. Offer oral fluids and reassess the blood pressure in one hour
- C. Apply a warm blanket and document the skin temperature
- D. Delay all treatment until the culture report identifies the organism
Explanation
The patient shows circulatory compromise, so restoring circulation with intravenous access and prescribed isotonic fluid is the priority. Oral fluids and warming do not correct shock adequately, and treatment should not wait for final culture results.
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About Antimicrobial Drugs
Antimicrobial pharmacology covers antibiotics, antitubercular, antifungal, antiviral and antiparasitic drugs, including their targets, clinical uses, resistance and major adverse effects. Questions distinguish bactericidal from bacteriostatic action, narrow from broad spectrum therapy, and antimicrobial treatment from supportive management of infection.
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