medium · NCLEX-RN risk-reduction
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?
- The client is successfully compensating and no changes to the plan are needed.
- The SI is within the normal orientation range of 1.0 to 1.5.
- The SI suggests the client is experiencing fluid volume overload, in this situation.
- The client is in a state of significant hemodynamic instability requiring escalation.
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