The nurse is reviewing orders for a client with a diagnosis of septic shock. Which order will the nurse verify with the health care provider before proceeding?
A) 2 Liters per minute of oxygen by nasal cannula
B) Sliding scale subcutaneous insulin
C) Intravenous furosemide
D) Intravenous amoxicillin
C) Intravenous furosemide
Explanation: A) Treatment for clients with septic shock includes the following: perfusion restored with intravenous fluids and sometimes vasopressors, O2 support, broad-spectrum antibiotics to treat infection, infection source control, and sometimes other supportive measures (e.g., corticosteroids, insulin).
B) Treatment for clients with septic shock includes the following: perfusion restored with intravenous fluids and sometimes vasopressors, O2 support, broad-spectrum antibiotics to treat infection, infection source control, and sometimes other supportive measures (e.g., corticosteroids, insulin).
C) The nurse will verify the order for IV furosemide, a loop diuretic, as this is likely to exacerbate hypotension associated with septic shock.
D) Treatment for clients with septic shock includes the following: perfusion restored with intravenous fluids and sometimes vasopressors, O2 support, broad-spectrum antibiotics to treat infection, infection source control, and sometimes other supportive measures (e.g., corticosteroids, insulin).
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