Emergency and Disaster Nursing NCLEX Questions Nursing Practice Question
The nurse is caring for a client diagnosed with septic shock. Which assessment data warrant immediate intervention by the nurse?
Correct Answer: C
Rationale: Urinary output of 90 mL/4 hours = 22.5 mL/hour, below 30 mL/hour, indicating renal hypoperfusion, requiring immediate intervention. Fever, tachycardia, and elevated WBC are expected; thirst is less urgent.