A nurse caring for a client notes the following assessments: white blood cell count 3800/mm³,blood glucose level 198 mg/dL,and temperature 96.2° F (35.6° C).What action by the nurse takes priority?

Question

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This client has several indicators of sepsis with systemic inflammatory response.The nurse should notify the health care provider immediately.Documentation needs to be thorough but does not take priority.The client may appreciate warm blankets,but comfort measures do not take priority.The client may or may not need insulin.

A Nurse Caring for a Client Notes the Following Assessments