What is the earliest sign of shock that the nurse would monitor for during a routine assessment?
1. Complaints of nausea
2. Complaints of thirst
3. Restlessness
4. Pale skin
Correct Answer: 3
Rationale 1: Behavior changes are some of the earliest symptoms.
Rationale 2: Behavior changes are some of the earliest symptoms.
Rationale 3: Behavior changes are some of the earliest symptoms, and can include restlessness, anxiety, confusion, depression, and lack of interest. Along with these, other symptoms will vary among the different types of shock, and can include complaints of thirst; cool, clammy skin that is pale; and feelings of weakness or sickness.
Rationale 4: Behavior changes are some of the earliest symptoms.
Global Rationale: Behavior changes are some of the earliest symptoms, and can include restlessness, anxiety, confusion, depression, and lack of interest. Along with these, other symptoms will vary among the different types of shock, and can include complaints of thirst; cool, clammy skin that is pale; and feelings of weakness or sickness. Complaints of nausea, thirst, and pale skin would not be the earliest symptoms.
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