The nurse admits a patient to the PACU with a blood pressure of 132/90 mm Hg and a pulse of 68 beats per minute. After 30 minutes, the patient's blood pressure is 94/47 mm Hg, and the pulse is 110
The nurse documents that the patient's skin is cold, moist, and pale. Of what is the patient showing signs?
A) Hypothermia
B) Hypovolemic shock
C) Neurogenic shock
D) Malignant hyperthermia
Ans: B
Feedback:
The patient is exhibiting symptoms of hypovolemic shock; therefore, the nurse should notify the patient's physician and anticipate orders for fluid and/or blood product replacement. Neurogenic shock does not normally result in tachycardia and malignant hyperthermia would not present at this stage in the operative experience. Hypothermia does not cause hypotension and tachycardia.
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