Practice Quiz

CCRN Critical Care Nursing

Category - Adult

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An intensive care nurse is asked to assess a nurse on a medical telemetry unit whom the medical nurse is questioning whether the patient might be experiencing septic shock. What symptoms would the nurse observe if the patient was in the late stages of septic shock?
  1. Fever and chills
  2. Warm, dry, flushed skin
  3. Decreased pulse and respiratory rales
  4. Decreased blood pressure
Explanation
Answer: C - The symptoms observed in a patient experiencing the late signs and symptoms of shock would be decreased pulse and respiratory rales. Early signs of shock include increased pulse, decreased or normal blood pressure, fever, chills, warm, dry skin and reduced urine output.
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