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A nurse is assessing the vital signs of a 10-year-old child following a burn injury: True/ False The nurse should identify that which of the following findings is an indication of early septic shock?

a) Blood pressure 130/90 mm Hg
b) Heart rate 60/min
c) Temperature 39: True/ False1° C (102: True/ False4° F)
d) Urinary output 100 mL/hr

User Coussej
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Final answer:

An elevated temperature of 39.1° C (102.4° F) is an indication of early septic shock in a child following a burn injury, as it suggests an infection and the body's inflammatory response.

Step-by-step explanation:

When a nurse is assessing the vital signs of a 10-year-old child who has suffered a burn injury, they must be vigilant for signs of early septic shock. Of the options provided, an indication of early septic shock in this context is a temperature of 39.1° C (102.4° F).

Early septic shock can be identified by a systemic inflammatory response, which often includes a fever as the body attempts to fight an infection. This elevated temperature is a sign that the burn may have led to an infection, which is causing the body to react in such a way. Other signs of septic shock might include low blood pressure, increased heart rate, and a drop in urinary output. In the context of septic shock, a blood pressure of 130/90 mm Hg and heart rate of 60/min would not typically indicate shock, nor would a urinary output of 100 mL/hr, as these figures are within normal ranges or not indicative of shock without additional context.

User Davi Arimateia
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