A 72-year-old client is admitted to the emergency department…
A 72-year-old client is admitted to the emergency department with suspected bacterial pneumonia and sepsis. Assessment findings include temperature 39.4°C (102.9°F), heart rate 128/min, respiratory rate 30/min, blood pressure 82/46 mm Hg, oxygen saturation 90% on room air, and serum lactate 4.8 mmol/L. The provider prescribes the following interventions. Place the actions in the order the nurse should implement them. Actions 1. Administer prescribed broad-spectrum intravenous antibiotics. 2. Begin a 30 mL/kg intravenous isotonic crystalloid bolus. 3. Obtain blood cultures from two separate sites. 4. Measure the serum lactate level again following fluid resuscitation.
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