The nurse suspects that a patient being treated for cancer is developing septic shock. What did the nurse assess to come to this conclusion?
1. high fever, peripheral edema, hypotension
2. cardiac dysrhythmia, increased urine output, and confusion
3. hypertension, increased urine output, and confusion
4. subnormal temperature, cardiac dysrhythmia, and thirst
Correct Answer: 1
Sepsis occurs when bacteria gain entrance to the blood, grow rapidly, and produce septicemia. Signs and symptoms appear in two phases. The first phase includes vasodilation with hypovolemia, high fever, peripheral edema, hypotension, tachycardia, tachypnea, hot flushed skin with creeping mottling beginning in the lower extremities, and anxiety or restlessness. Without treatment, the shock progresses to the second phase, which includes hypotension; rapid, thready pulse; respiratory distress; cyanosis; subnormal temperature; cold, clammy skin; decreased urinary output; and altered mentation. Cardiac dysrhythmias, increased urine output, hypertension, and thirst are not usual signs of septic shock.
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