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What is the priority assessment for a patient with suspected sepsis?
Asked on Mar 24, 2026
Answer
In a patient with suspected sepsis, the priority assessment is to evaluate vital signs, particularly focusing on temperature, heart rate, respiratory rate, and blood pressure, as these can indicate systemic infection and hemodynamic instability. Early recognition and intervention are crucial to prevent progression to septic shock.
Example Nursing Steps:
- Step 1 – Assess vital signs, noting any fever, tachycardia, tachypnea, or hypotension.
- Step 2 – Obtain blood cultures and initiate broad-spectrum antibiotics as per protocol.
- Step 3 – Monitor for changes in mental status and urine output, and document findings promptly.
Additional Comment:
- Sepsis can rapidly progress, making early detection and intervention critical.
- Follow the ABCs (Airway, Breathing, Circulation) to prioritize care.
- Be aware of the signs of systemic inflammatory response syndrome (SIRS) which can precede sepsis.
- Timely communication with the healthcare team is essential for effective management.
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