7. A 37-year-old male is admitted with a severely abscessed tooth, BP 90/42, HR 136, RR28, Spo2 90% on room air, temperature 38.7o C. The nurse suspects that the patient hasdeveloped sepsis. What is the priority nursing intervention?A. Insert an indwelling urinary catheter.B. Initiate intravenous fluid resuscitation.C. Obtain a complete chemistry for laboratory analysis.D. Administer prescribed antibiotics prior to blood cultures.B. Initiate intravenous fluid resuscitation.
Question
- A 37-year-old male is admitted with a severely abscessed tooth, BP 90/42, HR 136, RR28, Spo2 90% on room air, temperature 38.7o C. The nurse suspects that the patient hasdeveloped sepsis. What is the priority nursing intervention?A. Insert an indwelling urinary catheter.B. Initiate intravenous fluid resuscitation.C. Obtain a complete chemistry for laboratory analysis.D. Administer prescribed antibiotics prior to blood cultures.B. Initiate intravenous fluid resuscitation.
Solution
The priority nursing intervention for a patient suspected of having sepsis, especially with the given vital signs, would be to initiate intravenous fluid resuscitation. This is crucial in order to stabilize the patient's blood pressure and improve perfusion. This intervention is typically followed by obtaining blood cultures and administering antibiotics, but the immediate priority is to manage the patient's hemodynamic status.
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