A patient with suspected septic shock has received prescribed intravenous fluid but remains confused, with cool mottled skin and a mean arterial pressure below the target ordered by the clinician. Which intervention should the nurse anticipate next?
Correct answer: A. Prompt preparation for prescribed vasopressor therapy
- A. Prompt preparation for prescribed vasopressor therapy
- B. Administration of oral antihypertensive medicine
- C. Removal of intravenous access to prevent fluid overload
- D. Delay of treatment until the next routine blood pressure
Explanation
Persistent poor perfusion and low pressure after initial fluid resuscitation suggest septic shock requiring vasopressor support according to the prescription and local protocol. Delaying treatment or giving an antihypertensive would worsen tissue hypoperfusion.
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About Critical Care and Emergency Nursing
Covers rapid assessment and stabilisation of patients with airway obstruction, respiratory failure, shock, cardiac arrest, sepsis, poisoning and major electrolyte disturbances. It includes triage, the ABCDE approach, cardiopulmonary resuscitation, ventilator and monitor care, emergency medicines and distinguishing life-threatening deterioration from stable illness.
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