A 13-Year-Old Girl with Cerebral Palsy Is Admitted to the Pediatric

Multiple Choice

A 13-year-old girl with cerebral palsy is admitted to the pediatric surgical unit following a posterior spinal fusion. During the procedure, rods were implanted to straighten her spine. Per the orthopedic surgical team's report, the patient tolerated the procedure well. Her post-operative vital signs were stable. 24 hours after she arrives to the inpatient unit, her blood pressure is 70/35, heart rate is 150 beats per minute, temperature is 104°F, and respiratory rate is 30 breaths per minute. She is difficult to arouse and is not responding to questions. The nurse calls for emergent assistance. Upon removing the dressing, it is noted that her incision is swollen, red, and oozing a cloudy white substance.
-The medical team suspects that the patient has septicemia.Boluses of isotonic fluid are given and vasoactive medications are ordered to increase her blood pressure.Which of the following are the most important next interventions?

A) Respiratory support,blood cultures,and antibiotics
B) Wound cleansing,antipyretics,and antibiotics
C) Maintenance intravenous fluids,blood cultures,and antibiotics
D) Respiratory support,wound cleansing,and antipyretics