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Nclexrn

Nclexrn Question of the Day

Practice Nclexrn with the production-style question-of-the-day selection for this public URL.

Question 1

An adult client in the ED is febrile and lethargic with BP 84/50, HR 128, RR 26, and suspected sepsis.

Which action should the nurse take first?

  1. Obtain blood cultures and start rapid isotonic fluid resuscitation per sepsis protocol.
  2. Hang broad-spectrum antibiotics immediately and draw cultures when able.
  3. Wait for the provider to assess the client at the bedside before intervening.
  4. Document the abnormal vital signs and continue to monitor closely.
Explanation: Early sepsis care prioritizes perfusion and obtaining cultures before antibiotics when feasible; initiate isotonic fluids and draw cultures per protocol. Administering antibiotics first, waiting for the provider, or focusing on documentation delays time-critical resuscitation.