Which assessment data indicates a client with septic shock is responding to treatment?

• A. Vital signs: T 100.4°F, P 104, R 26, BP 102/60.
• B. A white blood cell count of 18,000 mm3.
• C. Urinary output of 200 mL in the last 4 hours.
• D. Dry, mucous membranes and tented skin turgor.

Answer: (C)

In septic shock, a key sign that treatment is helping is improved perfusion to vital organs, which shows up as adequate urine output. Urine output of 200 mL over 4 hours equals about 50 mL per hour, roughly 0.7 mL/kg/hr for a typical adult—above the commonly used target of at least 0.5 mL/kg/hr. This indicates the kidneys are receiving enough blood flow and that fluid resuscitation and vasopressor therapy are stabilizing circulation.

Other data don’t demonstrate this immediate improvement. A temperature and heart rate that remain elevated and a blood pressure that’s still borderline suggest ongoing physiologic stress rather than clear stabilization. A high white blood cell count reflects the infection but not how well the patient is responding to treatment in the moment. Dry mucous membranes and tenting skin show continuing dehydration and poor perfusion, not recovery.