When caring for a postpartum woman experiencing hypovolemic shock, the nurse recognizes that the most objective and least invasive assessment of adequate organ perfusion and oxygenation is
a. Absence of cyanosis in the buccal mucosa
b. Cool, dry skin
c. Diminished restlessness
d. Decreased urinary output
D
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A The assessment of the buccal mucosa for cyanosis can be subjective in nature.
B The presence of cool, pale, clammy skin is an indicative finding associated with
hypovolemic shock.
C Hypovolemic shock is associated with lethargy, not restlessness.
D Hemorrhage may result in hypovolemic shock. Shock is an emergency situation
in which the perfusion of body organs may become severely compromised, and
death may occur. The presence of adequate urinary output indicates adequate
tissue perfusion.
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