A nurse is collecting data on a client who has an infection. Which of the following findings are signs and symptoms of sepsis? (Select All that Apply.)
Explanation & Rationale
Rationale: A. Pruritus: Pruritus, or itching, is commonly associated with allergic reactions, dermatologic conditions, or localized infections, but it is not a typical sign of systemic infection or sepsis. B. Altered Mental Status: Altered mental status is a key indicator of sepsis, especially in older adults. It reflects decreased perfusion to the brain and systemic inflammatory effects impacting neurological function. C. Elevated White Blood Count: An elevated WBC count is a classic sign of infection and is often present in sepsis as the immune system responds to the overwhelming infection. It can also indicate systemic inflammation. D. Hypoglycemic: Hypoglycemia is not a typical sign of sepsis. Sepsis more commonly causes hyperglycemia due to the stress response, although glucose dysregulation may occur in either direction in severe illness. E. Hypotension: Hypotension is a hallmark of sepsis and may progress to septic shock. It results from widespread vasodilation and capillary leakage leading to poor tissue perfusion and organ dysfunction.