A 78-Kg Patient with Septic Shock Has a Pulse Rate

Multiple Choice

A 78-kg patient with septic shock has a pulse rate of 120 beats/min with low central venous pressure and pulmonary artery wedge pressure. Urine output has been 30 mL/hr for the past 3 hours. Which order by the health care provider should the nurse question?

A) Administer furosemide (Lasix) 40 mg IV.
B) Increase normal saline infusion to 250 mL/hr.
C) Give hydrocortisone (Solu-Cortef) 100 mg IV.
D) Titrate norepinephrine to keep systolic blood pressure (BP) above 90 mm Hg.