The nurse is caring for a client in the emergency room who has been diagnosed with shock. The client has a history of an abscessed tooth that has not yet been removed. Which type of shock does the nurse suspect?
Explanation & Rationale
A. Septic is correct because an abscessed tooth is a localized bacterial infection. If untreated, bacteria can enter the bloodstream and lead to systemic infection and sepsis. Sepsis can progress to septic shock, which is characterized by widespread vasodilation, increased capillary permeability, hypotension, and poor tissue perfusion. A dental abscess is a known source of bacteremia and systemic infection. B. Obstructive is incorrect because obstructive shock occurs when there is a physical obstruction to blood flow, such as in pulmonary embolism, cardiac tamponade, or tension pneumothorax. An abscessed tooth does not cause mechanical obstruction of circulation. C. Cardiogenic is incorrect because cardiogenic shock results from the heart’s inability to pump effectively, often due to myocardial infarction or severe heart failure. There is no indication of cardiac pump failure related to a dental abscess. D. Hypovolemic is incorrect because hypovolemic shock occurs due to significant blood or fluid loss, such as hemorrhage, vomiting, diarrhea, or burns. An abscess does not directly cause volume depletion.