Reduction of Risk PotentialQuestion 1369 of 2368

A postpartum client with a wound infection is assessed. Which client meets criteria for systemic inflammatory response syndrome (SIRS)?

  1. Temperature 38.4 C, heart rate 82/min, respiratory rate 16/min
  2. Temperature 37.2 C, heart rate 96/min, respiratory rate 16/min
  3. Temperature 38.5 C, heart rate 104/min, respiratory rate 18/min
  4. Temperature 37.0 C, heart rate 80/min, respiratory rate 22/min
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Correct answer: Temperature 38.5 C, heart rate 104/min, respiratory rate 18/min

SIRS needs at least two criteria. The third client has temperature over 38 C and heart rate over 90; the others meet only one.

Source: Nursing Health Promotion (Open RN, Chippewa Valley Technical College, 2025), High-risk Perinatal Client Care: Recognizing Cues of SIRS and Sepsis. Licensed under CC BY 4.0.

Practice the topic "Reduction of Risk Potential"

Questions last reviewed: 18 October 2026