ACCS Practice Exam 2026 – Complete Test Preparation Guide

In the context of a patient presenting with a cough, fever, and significant lab abnormalities, initiating treatment with antibiotics is the most appropriate choice. This is particularly relevant if there is a suspicion of an infection, such as pneumonia or sepsis, given the symptoms and the lab findings that suggest an underlying infectious process.

Antibiotics are critical in managing infections effectively, especially in a potentially unstable patient. Timely administration can be vital for improving outcomes and preventing further complications, such as septic shock or organ dysfunction. In a critical care setting, early recognition and treatment of infection with appropriate antibiotics can be life-saving.

Other options, while they might be relevant in specific scenarios, are not the primary concern based on the patient’s presentation. Vasopressors are typically used in cases of septic shock or severe hypotension but are not indicated without evidence of volume depletion or shock. Fluids may be supportive if dehydration or hypovolemia is suspected, but in the context of a likely infection, antibiotics should be prioritized. Insulin management is usually reserved for patients with hyperglycemia, such as those with diabetes, and would not be first-line in this case without further evidence of an endocrine problem.

Overall, starting antibiotics addresses the probable cause of the patient