The nurse is caring for a client who has septic shock. Which of the following assessment findings is most important for the nurse to report to the health care provider?
A)BP 92/56 mm Hg
B)Skin cool and clammy
C)Apical pulse 118 beats/minute
D)Arterial oxygen saturation 91%

Question

Quizplus · Accepted Answer

Since clients in the early stage of septic shock have warm and dry skin, the client's cool and clammy skin indicates that shock is progressing. The other information also will be reported, but does not indicate deterioration of the client's status.

The Nurse Is Caring for a Client Who Has Septic