A 78-Kg Patient with Septic Shock Has a Urine Output

A 78-kg patient with septic shock has a urine output of 30 mL/hr for the past 3 hours.The pulse rate is 120/minute and the central venous pressure and pulmonary artery wedge pressure are low.Which order by the health care provider will the nurse question?

A) Give PRN furosemide (Lasix) 40 mg IV.
B) Increase normal saline infusion to 250 mL/hr.
C) Administer hydrocortisone (Solu-Cortef) 100 mg IV.
D) Titrate norepinephrine (Levophed) to keep systolic BP >90 mm Hg.