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What is the priority assessment for a patient with suspected sepsis? Pending Review
Asked on Apr 15, 2026
Answer
In patients with suspected sepsis, the priority assessment is to evaluate vital signs, focusing on temperature, heart rate, respiratory rate, and blood pressure to identify signs of systemic infection and hemodynamic instability. Early recognition and intervention are crucial to prevent progression to severe sepsis or septic shock.
Example Nursing Steps:
- Step 1 – Assess vital signs, particularly noting fever, tachycardia, tachypnea, and hypotension.
- Step 2 – Initiate sepsis protocol, which may include obtaining blood cultures and administering broad-spectrum antibiotics.
- Step 3 – Continuously monitor the patient's response to interventions and document changes in condition and treatment provided.
Additional Comment:
- Sepsis is a medical emergency; early identification and treatment are critical.
- Use the "Sepsis Six" bundle if applicable, which includes oxygen, blood cultures, IV antibiotics, fluid resuscitation, lactate measurement, and urine output monitoring.
- Prioritize ABCs (Airway, Breathing, Circulation) to ensure patient stability.
- Recognize that altered mental status can be an early sign of sepsis in some patients.
- Communicate findings promptly to the healthcare team for timely intervention.
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