The nurse is caring for a client with septic shock. Which of the following findings is present in septic shock?
1. Patient with infection, blood pressure 84/52 after 4 liters of saline
2. Patient with burns over 40% of the body and febrile
3. A patient with WBC count of 22,000 and fever
4. Patient with respiratory failure and community-acquired pneumonia
Patient with infection, blood pressure 84/52 after 4 liters of saline
Rationale: By definition, septic shock exists when sepsis is refractory to fluid resuscitation. A burn injury with fever does not meet the criteria for severe sepsis. A high WBC count and fever may be present in an uncomplicated infection. Respiratory failure secondary to pneumonia does not indicate presence of severe sepsis with shock.
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