Medical Surgical Critical Care Shock #2

Question

A client has pneumonia with a urinary tract infection (UTI) and has been hospitalized for 2 days. When the nurse begins her shift, she assesses that the client’s temperature is 102.5F, BP 70/38, HR 140, RR 38, very weak, has chills, a slow capillary refill, cool, pale, clammy skin, and labs reveal a WBC of 19,000. Which of these does the nurse suspect the client has developed?

Answers

  1. Septic shock from sepsis
    • Rationale:

      This answer is correct because sepsis results when an infection enters the bloodstream causing serious complications, such as weakness, chills, high fever, tachycardia, tachypnea, hypotension. These can lead to septic shock if left unchecked causing severe hypotension and organs to shut down.

  2. Cardiogenic shock from heart failure
    • Rationale:

      This answer is not correct because the client is not experiencing heart failure nor cardiogenic shock. The client has sepsis that has caused septic shock.

  3. Anaphylactic shock from a drug reaction
    • Rationale:

      This answer is not correct because anaphylactic shock is caused by an allergic reaction to something. The question does not mention about the client having any allergic reaction to anything. Sepsis results when an infection enters the bloodstream causing serious complications, such as weakness, chills, high fever, tachycardia, tachypnea, hypotension.

  4. Neurogenic shock from a spinal cord injury
    • Rationale:

      This answer is not correct because the client did not have a spinal cord injury and does not have neurogenic shock. Sepsis results when an infection enters the bloodstream causing serious complications, such as weakness, chills, high fever, tachycardia, tachypnea, hypotension.

Overview

Septic shock occurs from blood-borne infections such as pneumonia or a UTI. The bacteria from the infection enters the bloodstream resulting in sepsis. The client becomes weak, may have chills and/or fever, tachycardia, and tachypnea. If left untreated, the client could have organ damage/failure, and death can occur.

Explanation

Learning Outcomes

The client already has pneumonia with a urinary tract infection. Sepsis results when an infection enters the bloodstream causing serious complications, such as weakness, chills, high fever, tachycardia, tachypnea, hypotension. These can lead to septic shock if left unchecked causing severe hypotension and organs to shut down.

Test Taking Tip

It is important to know the different kinds of shock, signs/symptoms of each, and treatment of each.

Video Rationale