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You are caring for Bruce Banner a 64 year old male in for severe cough and congestion on a Med Surg unit. You receive a SPOT alert for him. You go assess Mr. Banner and you observe him tripoding, using intercostal muscles to breathe, he is pale and clammy. You assess your patient his vitals are as follows: • HR 125 • RR 26 • Temp 100.9 • BP 88/50 MAP 62 • Pulse Ox 89% What are the next steps for this patient? (Select all that apply) Select all that apply A. Complete the Sepsis Screen under Safety/Risk/Regulatory Assessment in 15 minutes B. Notify the physician C. Call Sepsis Alert/Rapid Response D. Take No Action E. Complete the Sepsis Screen under Safety/Risk/Regulatory Assessment in 60 minutes F. Re-evaluate the patient in 1 hour
SCIENCE
HEALTH SCIENCE
NURSING

 
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