Which action is not appropriate for a patient with septic shock?

• A. Administer IV antibiotics.
• B. Place the patient in Trendelenburg position.
• C. Administer IV fluids.
• D. Monitor urine output hourly.

Answer: (B)

In septic shock, the priority is to restore tissue perfusion quickly with aggressive IV fluids, prompt administration of broad-spectrum antibiotics, and ongoing monitoring of organ function. Positioning the patient in a head-down tilt does not address the underlying issue and can cause more harm. Trendelenburg can worsen breathing by restricting diaphragmatic movement and improving oxygenation, increase the risk of aspiration if vomiting occurs, and raise intracranial pressure in at-risk patients. It does not reliably improve preload or cardiac output in septic shock, so it’s not a recommended intervention.

Supporting actions—administering IV antibiotics, providing IV fluids to support circulation, and monitoring urine output hourly—are appropriate and essential for guiding resuscitation and ensuring perfusion to organs.