The family of a client in shock asks why the client's hands are cold. The nurse's best response is which of the following?
1. "Blood vessels constrict in shock, which takes the blood away from hands and feet.".
2. "We keep the intensive care unit cool to reduce clients' metabolic rate.".
3. "Your family member has developed a fever and chills.".
4. "This happens frequently to clients in shock states.".
"Blood vessels constrict in shock, which takes the blood away from hands and feet.".
Rationale: Vasoconstriction results from catecholamine release, which is a compensatory mechanism in shock. Cooling measures are used in shock for fever; the ICU is not purposefully chilled. There is no indication that the client has developed fever and chills.
Stating that cold hands happen frequently does not answer the family member's question.
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