The nurse identifies the diagnosis of Ineffective Peripheral Tissue Perfusion as being appropriate for a client with septicemia. Which intervention will address this client's health problem?
A) Monitor heart rate every hour.
B) Assess temperature every 4 hours.
C) Monitor pupil reactions every 8 hours.
D) Monitor for cyanosis.
Answer: D
Assessing temperature and monitoring heart rate and pupil reaction are important when assessing a client with septicemia, but a change in skin color will alert the nurse immediately of decreased tissue perfusion.
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