You are dispatched to an extended-care facility for a "sick person." On arrival, you speak with the staff who tells you that Ms. Johnson "just started acting differently and is slow to respond." Your assessment reveals that she is febrile and has vomited. When you move her to the cot, you notice a stage 3 ulcer on her buttock. What could you assume from her condition?

A) This is most probably due to abuse. Report the facility to the appropriate authorities.
B) This is an acute illness requiring rapid intervention.
C) The signs could be masking a more serious issue, like a cardiac event.
D) She is probably suffering from sepsis due to infection of the ulcer. She probably needs an IV and supportive care from you, but antibiotics and wound care will be needed for recovery.

D