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Multiple Choice
The client is experiencing septic shock. What assessment finding would the nurse expect to find?
A
Bradycardia and increased urine output
B
Hypertension and warm, flushed skin
C
Hypotension despite adequate fluid resuscitation
D
Increased blood pressure and decreased respiratory rate
Verified step by step guidance
1
Understand the condition: Septic shock is a severe and potentially fatal condition that occurs when an infection leads to dangerously low blood pressure and abnormalities in cellular metabolism.
Identify typical symptoms: In septic shock, the body experiences widespread inflammation, leading to vasodilation and decreased systemic vascular resistance, which results in hypotension.
Consider fluid resuscitation: Despite adequate fluid resuscitation, hypotension persists in septic shock due to the inability of the blood vessels to constrict properly.
Recognize skin changes: Patients may have warm, flushed skin initially due to vasodilation, but as shock progresses, skin may become cool and clammy.
Evaluate other vital signs: Bradycardia is not typical in septic shock; instead, tachycardia is common as the body attempts to compensate for low blood pressure. Urine output may decrease due to poor perfusion of the kidneys.