A 62-year-old client in the ICU is being treated for septic…
A 62-year-old client in the ICU is being treated for septic shock secondary to an intra-abdominal abscess. A central venous catheter and arterial line are in place. The client has received IV broad-spectrum antibiotics and is currently receiving a lactated Ringer’s infusion. Current assessment: BP: 86/52 mm Hg (MAP 63) HR: 118 bpm RR: 24 SpO₂: 95% on 2 L nasal cannula CVP: 1 mm Hg Urine output: 10 mL/hr over the past 2 hours Lactate: 3.8 mmol/L Skin: warm, dry, pink Mental status: restless but oriented Total fluids received so far: 750 mL of the prescribed 30 mL/kg CVC waveform: appropriate venous tracing; line aspirates easily and flushes without resistance Which action should the nurse implement first?