A client with suspected septic shock has a central venous pressure (CVP) of 2 mmHg and a mean arterial pressure (MAP) of 55 mmHg despite fluid resuscitation. The healthcare provider has ordered a vasopressor infusion. Which action by the nurse is indicated before initiating the vasopressor?

Question: A client with suspected septic shock has a central venous pressure (CVP) of 2 mmHg and a mean arterial pressure (MAP) of 55 mmHg despite fluid resuscitation. The healthcare provider has ordered a vasopressor infusion. Which action by the nurse is indicated before initiating the vasopressor?

Answer options:

• Ensure a peripheral intravenous line is patent.
• Obtain a repeat set of vital signs.
• Administer a bolus of 500 mL 0.9% sodium chloride. ✅ Confirm central venous catheter placement and patency.

Correct answer: Confirm central venous catheter placement and patency.

Explanation: Vasopressors should ideally be administered through a central venous catheter because of their potent vasoconstrictive properties, which can cause severe tissue damage (extravasation) if given peripherally. Confirming central line placement and patency is crucial for safe administration.