護理師正在照護一位敗血症病人，其血壓顯著下降。根據目前的敗血症管理指引，護理師應預期執行哪項介入措施？
A nurse is caring for a client with sepsis. The client's blood pressure has dropped significantly. Which intervention should the nurse anticipate based on current sepsis management guidelines?
- AObtain blood cultures before administering any antibiotics在給予任何抗生素之前採集血液培養
- BInitiate intravenous fluid resuscitation with crystalloids✓ 正解開始使用結晶體液進行靜脈補液復甦
- CAdminister broad-spectrum antibiotics immediately立即給予廣效型抗生素
- DAdminister vasopressors to maintain mean arterial pressure (MAP) above 65 mmHg給予血管收縮劑以維持平均動脈壓（MAP）高於 65 mmHg
敗血症的黃金時間治療包括：儘早給予廣效抗生素、儘早進行靜脈輸液復甦（通常是結晶氏液體，如生理食鹽水），以及在 1 小時內進行。若血壓持續低下即使已輸液，才考慮升壓藥物。雖然血液培養應盡早採集，但若會延誤抗生素給予則應先給藥。
Golden-hour treatment of sepsis includes early administration of broad-spectrum antibiotics and early intravenous fluid resuscitation (typically with crystalloids such as normal saline), all within one hour. If blood pressure remains low despite fluids, vasopressors are then considered. Although blood cultures should be obtained as early as possible, administration of antibiotics should not be delayed for their collection.
美國敗血症早期偵測與處置流程（Sepsis Bundle）已標準化，護理師對流程熟悉度高；台灣近年來也積極推動，但個案間執行整合度可能略有差異。