The nurse is caring for a patient with MODS secondary to septic shock whose urine output was 10 mL for the last 2 hours. Temperature is 97 degrees, pulse is 124 and thready, and BP is 88/

Question

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The patient's low urine output and thready pulse suggest hypovolemia, so administering isotonic fluids at a high rate (20 mL/kg/hr) is the priority to increase circulating volume and improve tissue perfusion. Placing the patient on a warming blanket (A) may be helpful to prevent hypothermia but is not the priority at this point. Drawing blood for BUN and creatinine (C) may be important to monitor renal function, but it is not the current priority. Placing the patient in a kinetic bed (D) may be helpful to prevent pressure ulcers or promote mobility, but it is not the priority at this time.

The Nurse Is Caring for a Patient with MODS Secondary