Hesi lpn exit proctored exam
A client with an infected spider bite is receiving IV antibiotics through a central venous catheter. The practical nurse (PN) observes that the client is weak, pale, and diaphoretic. Which additional finding should the PN report immediately to the charge nurse?
Explanation & Rationale
A. Red streaks from wound: Could indicate lymphangitis but not immediately life-threatening. B. Urine output 20 mL/hour: Indicates possible septic shock with decreased renal perfusion - urgent finding. C. Purulent wound drainage: Suggests infection but expected in an infected bite; not immediately life-threatening. D. Blood pressure 100/60 mm Hg: Low-normal BP; not yet critical unless accompanied by other shock signs.
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