Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What systemic symptom is associated with phase 3 of necrotizing fasciitis?

1. Fever

2. Shock

3. Chills

4. Fatigue

The correct answer is: Shock

Phase 3 of necrotizing fasciitis is characterized by more severe systemic involvement as the infection progresses. During this stage, the body’s response to the rapidly advancing infection may lead to shock, which is a critical condition characterized by inadequate blood flow to the organs. Shock can occur due to the extensive tissue damage, significant inflammation, and the release of toxins by the infecting bacteria, which can lead to profound changes in circulation and impaired organ function. The patient may exhibit signs of altered mental status, tachycardia, hypotension, and other manifestations indicative of a life-threatening emergency. In contrast, while fever, chills, and fatigue may also be present as systemic signs of infection in earlier phases, shock is particularly notable as it signifies a critical progression in the disease, demanding immediate medical intervention. Recognizing shock during phase 3 is essential for timely management and treatment, making this symptom particularly relevant to this stage of necrotizing fasciitis.