NCLEX-RN

Category - Physiological

An 84-year-old man was rushed to the emergency room because of extreme confusion, agitation, and combative behavior. His wife noted the sudden change of behavior after her husband had a high fever. The physician suspects septic shock. What other manifestations can help the nurse confirm this diagnosis?
  1. Pallor and cold extremities, chills, palpitations
  2. Increased urine specific gravity, urinary infection
  3. Shortness of breath, low BP, tachycardia
  4. Lethargy, confusion, altered mental status
Explanation
Answer: B - All options are signs and symptoms of shock, but a finding of increased urine specific gravity and infection confirms septic shock. This client is managed by aggressively treating the infection and preventing circulatory collapse. There is a high incidence of death in septic shock, because of multiple organ failure.
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