Sepsis Is an Evolving Process, with Neither Clearly Definable Clinical

Multiple Choice

Sepsis is an evolving process, with neither clearly definable clinical signs and symptoms nor predictable progression. As the ICU nurse caring for a patient with sepsis, the nurse knows that tissue perfusion declines during sepsis and the patient begins to show signs of organ dysfunction. What sign would indicate to the nurse that end-organ damage may be occurring?

A) Urinary output increases
B) Skin becomes warm and dry
C) Adventitious lung sounds occur in the upper airway
D) Heart and respiratory rates are elevated