The nurse is caring for a client with septic shock and MODS. The client's family member tearfully tells the nurse, "The doctor said my mother's organs are shutting down. How did that happen?" Which of the following is the best response?
1. "Deprivation of oxygen during shock causes organs to fail to function properly.".
2. "The infection attacks and destroys each organ, causing them to fail.".
3. "Fever damages the brain, which controls all organs.".
4. "The stress of illness has overwhelmed your loved one.".
"Deprivation of oxygen during shock causes organs to fail to function properly.".
Rationale: The cascade of events in shock states results in inadequate tissue perfusion and hypoxia leading to organ failure. Infection does not strike each organ; rather, an inflammatory process begins a cascade of events impairing tissue perfusion that causes organs to fail. Fever may cause brain damage if exceedingly high and increase metabolic demand, increasing oxygen demand, but it is not the primary reason for MODS. The stress response is activated as a compensatory mechanism; however, it is not the primary reason for MODS.
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