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What is the priority assessment for a patient with suspected sepsis? Pending Review
Asked on May 11, 2026
Answer
In a patient with suspected sepsis, the priority assessment involves identifying signs of systemic infection and organ dysfunction, focusing on vital signs and perfusion status. Early recognition and intervention are crucial to prevent progression to severe sepsis or septic shock.
Example Nursing Steps:
- Step 1 – Assess vital signs, particularly temperature, heart rate, respiratory rate, and blood pressure, for signs of systemic infection and hemodynamic instability.
- Step 2 – Evaluate for signs of altered mental status, decreased urine output, and skin changes such as mottling or delayed capillary refill.
- Step 3 – Document findings and communicate promptly with the healthcare team to initiate sepsis protocols and interventions.
Additional Comment:
- Early identification of sepsis is critical; look for SIRS criteria (e.g., fever, tachycardia, tachypnea, leukocytosis).
- Prioritize ABCs (Airway, Breathing, Circulation) and initiate fluid resuscitation if indicated.
- Monitor for acute changes and unexpected findings, escalating care as needed.
- Use SBAR (Situation, Background, Assessment, Recommendation) for effective communication with the team.
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