The nurse is performing an assessment on a client who is experiencing shock. What metabolic findings would the nurse expect?
1. Rapid, shallow respiratory effort
2. Restlessness, anxiety, and confusion
3. Low temperature and thirst
4. Tachycardia and hypotension
Correct Answer: 3
Rationale 1: The effects of shock on the metabolic system include low temperature, thirst, and low urine output, as well as acidosis.
Rationale 2: The effects of shock on the metabolic system include low temperature, thirst, and low urine output, as well as acidosis.
Rationale 3: Effects of shock on the metabolic system include low temperature, thirst, and low urine output, as well as acidosis. Respiratory effects include tachypnea, or shallow respirations. The skin will feel clammy and cool, and will be pale. Neurologic findings include restlessness, anxiety, lethargy, and confusion; cardiovascular effects include tachycardia, thready pulse, low cardiac output, and hypotension.
Rationale 4: The effects of shock on the metabolic system include low temperature, thirst, and low urine output, as well as acidosis.
Global Rationale: Effects of shock on the metabolic system include low temperature, thirst, and low urine output, as well as acidosis. Respiratory effects include tachypnea, or shallow respirations. The skin will feel clammy and cool, and will be pale. Neurologic findings include restlessness, anxiety, lethargy, and confusion; cardiovascular effects include tachycardia, thready pulse, low cardiac output, and hypotension. Rapid, shallow respiratory effort; restlessness, anxiety, and confusion; and Tachycardia and hypotension are not metabolic symptoms.
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