Certified Wound Ostomy Nurse (CWON) Practice Test

How does systemic presentation of phase 1 of necrotizing fasciitis typically manifest?

1. Low-grade fever and rash

2. Fever and chills

3. Severe anxiety and sweating

4. Headaches and nausea

The correct answer is: Fever and chills

The systemic presentation of phase 1 of necrotizing fasciitis typically manifests with fever and chills. This response indicates that the body is reacting to a severe infection. Necrotizing fasciitis is a rapidly progressing soft tissue infection that leads to high rates of morbidity and mortality. As the infection begins, the body's immune system generates a systemic response to combat the rapidly developing bacteria, which often results in elevated body temperature (fever) and sensations of cold (chills) as the body attempts to fight off the infection. Fever is a common response to infection, as it helps create an environment less conducive to bacterial growth while promoting healing. Chills can occur as the body raises its temperature, producing shivering and shaking to elevate core temperature. This systemic response differs significantly from other options that suggest milder or unrelated symptoms, which may not adequately reflect the severity or systemic nature of the infection during its initial phase. Understanding these manifestations can help healthcare professionals initiate prompt and aggressive treatment measures to prevent further complications associated with necrotizing fasciitis.