An 80-year-old patient is being admitted from a nursing home for treatment of septic shock. Which assessment finding should the nurse investigate as the most likely source of the sepsis?
1. A red, flat rash in the perineal area
2. History of exposure to a daughter who is receiving chemotherapy
3. Report that several patients at the nursing home have scabies
4. An indwelling urinary catheter inserted 3 days ago by nursing home personnel
4
Rationale 1: A perineal rash without open skin would not contribute to sepsis.
Rationale 2: The patient's daughter is at risk for infection and sepsis, not the patient.
Rationale 3: Scabies is not the most likely source of this sepsis.
Rationale 4: A major cause of sepsis is indwelling urinary catheters.
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