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What is the priority assessment for a patient with suspected sepsis?
Asked on Feb 01, 2026
Answer
In a patient with suspected sepsis, the priority assessment is to evaluate vital signs and identify signs of systemic infection and organ dysfunction. This includes monitoring temperature, heart rate, respiratory rate, blood pressure, and oxygen saturation, as well as assessing for altered mental status and decreased urine output.
Example Nursing Steps:
- Step 1 – Assess vital signs, focusing on temperature, heart rate, respiratory rate, and blood pressure.
- Step 2 – Perform a thorough physical examination to identify potential sources of infection and signs of organ dysfunction.
- Step 3 – Document findings, initiate sepsis protocol as per facility guidelines, and communicate with the healthcare team.
Additional Comment:
- Sepsis is a medical emergency; early recognition and treatment are critical.
- Look for signs of systemic inflammatory response syndrome (SIRS) such as fever, tachycardia, tachypnea, and leukocytosis.
- Consider the ABCs (Airway, Breathing, Circulation) when assessing and intervening.
- Communicate any changes in patient status promptly to the healthcare provider.
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