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What is the priority assessment for a patient with suspected sepsis?
Asked on Jan 25, 2026
Answer
In patients with suspected sepsis, the priority assessment is to evaluate vital signs, particularly focusing on identifying signs of systemic infection such as fever, tachycardia, tachypnea, and hypotension. Early recognition and intervention are crucial to prevent progression to severe sepsis or septic shock.
Example Nursing Steps:
- Step 1 – Assess vital signs, including temperature, heart rate, respiratory rate, and blood pressure, to identify signs of systemic infection.
- Step 2 – Initiate sepsis protocol by obtaining blood cultures and administering prescribed broad-spectrum antibiotics promptly.
- Step 3 – Monitor response to treatment, reassess vital signs frequently, and document findings and interventions in the patient's medical record.
Additional Comment:
- Early identification and treatment of sepsis can significantly improve patient outcomes.
- Use the ABCs (Airway, Breathing, Circulation) to prioritize interventions, especially if the patient shows signs of shock.
- Be vigilant for unexpected findings such as altered mental status or decreased urine output, which may indicate worsening condition.
- Communicate any changes in the patient's status to the healthcare team immediately.
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