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What is the priority assessment for a patient with suspected sepsis? Pending Review
Asked on May 16, 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 critical to prevent progression to septic shock.
Example Nursing Steps:
- Step 1 – Assess vital signs, noting any fever, tachycardia, tachypnea, or hypotension.
- Step 2 – Initiate sepsis protocol, which may include obtaining blood cultures and administering broad-spectrum antibiotics.
- Step 3 – Monitor response to interventions, reassess vital signs frequently, and document findings and actions taken.
Additional Comment:
- Sepsis is a life-threatening condition that requires prompt identification and treatment.
- Use the "Sepsis Six" bundle where applicable: oxygen, blood cultures, IV antibiotics, fluid resuscitation, lactate measurement, and urine output monitoring.
- Prioritize interventions based on ABCs (Airway, Breathing, Circulation) and expected vs. unexpected findings.
- Communicate any changes in patient status to the healthcare team immediately.
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