medium · NCLEX-RN Reduction of Risk Potential

A client with septic shock has a MAP of 62 mm Hg and a heart rate of 128 beats/min. Using the equation SI = (HR) / (SBP), the nurse calculates a Shock Index (SI) of 1.3.

Which is the most appropriate nursing interpretation of this SI?

  1. The client is successfully compensating and no changes to the plan are needed.
  2. The SI is within the normal orientation range of 1.0 to 1.5.
  3. The SI suggests the client is experiencing fluid volume overload, in this situation.
  4. The client is in a state of significant hemodynamic instability requiring escalation.

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