The nurse is planning discharge education for a client who had an exploratory laparotomy. Which nursing statement is appropriate when teaching the client to monitor for early signs of shock?
a. "Monitor how much urine you void and report a decrease in the amount."
b. "Take your temperature daily and report any below-normal body temperatures."
c. "Assess your radial pulse every day and report an irregular rhythm."
d. "Monitor your bowel movements and re-port ongoing constipation or diarrhea."
A
A decrease in urine output is a sensitive indicator of early shock. In severe shock, urine output is decreased (compared with fluid intake) or even absent. Alterations in temperature, irregular rhythms, and changes in bowel movements are not early signs of shock.
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