A Patient with Septic Shock Has a BP of 70/46

A patient with septic shock has a BP of 70/46 mm Hg,pulse 136,respirations 32,temperature 104° F,and blood glucose 246 mg/dL.Which intervention ordered by the health care provider should the nurse implement first?

A) Give normal saline IV at 500 mL/hr.
B) Give acetaminophen (Tylenol) 650 mg rectally.
C) Start insulin drip to maintain blood glucose at 110 to 150 mg/dL.
D) Start norepinephrine (Levophed) to keep systolic blood pressure >90 mm Hg.