he nurse caring for a patient who was readmitted with a suspected surgical site infection finds the following on assessment: BP 98/65, RR 23, HR 110, temp 38.0 degree Celsius and GSC 14. After notifying the physician and receiving the required orders, what should be the nurse's initial action?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
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Question 40 

The nurse caring for a patient who was readmitted with a suspected surgical site infection finds the following on assessment: BP 98/65, RR 23, HR 110, temp 38.0 degree Celsius and GSC 14. After notifying the physician and receiving the required orders, what should be the nurse's initial action? 

 

Question 40 options:

 

Transfer patient to ICU

 

Administer fluid bolus of 40mL/kg

 

Administer antibiotics

 

Measure lactate level

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