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What is the priority assessment for a patient with suspected sepsis?
Asked on Apr 25, 2026
Answer
In a patient with suspected sepsis, the priority assessment involves evaluating vital signs and identifying 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 for fever, tachycardia, tachypnea, hypotension, and hypoxia.
- Step 2 – Perform a focused physical examination to identify potential sources of infection and signs of organ dysfunction.
- Step 3 – Document findings and communicate any critical changes to the healthcare provider promptly.
Additional Comment:
- Sepsis is a medical emergency; early recognition and intervention are crucial.
- Use the "Sepsis Bundle" guidelines for timely management, including blood cultures and antibiotic administration.
- Prioritize ABCs (Airway, Breathing, Circulation) and monitor for signs of shock.
- Be aware of expected vs. unexpected findings; unexpected hypotension or altered mental status requires immediate attention.
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