The nurse is caring for a patient who has hypovolemic shock from hemorrhage. The nurse would expect to find which of the following clinical manifestations?

1. bradycardia, hypothermia
2. decreased capillary refill, tachycardia
3. tightness in throat and chest, anxiety
4. hypotension, lactic acidosis


2

Rationale: In a patient with hypovolemic shock because of hemorrhage, assessment findings will be related to intravascular fluid loss that include cool skin, decreased capillary refill, hypotension, orthostatic changes, tachycardia, and decreased urine output. Bradycardia and hypothermia are findings associated with spinal cord injury; tightness in throat and chest and anxiety are findings associated with anaphylaxis; and hypotension and lactic acidosis are findings associated with sepsis, all of which may result in hypovolemic shock states from other causes.

Nursing

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