A client who has been injured in a construction accident is bleeding profusely from a femoral artery laceration. The nurse estimates that the client has lost 700 mL of blood. The client has the following vital signs: HR 98 bpm, BP 100/70 mmHg, RR 20/min. In which class of hypovolemic shock would this client be classified?
a. Class IV
b. Class II
c. Class I
d. Class III
c. Class I
rationale: "Class I" is correct. Hypovolemic shock develops when intravascular volume drops, resulting in decreased perfusion to the tissues and organs. Hypovolemic shock is can be classified into four stages based on the level of severity and the potential outcome for the client. A client in Class I hypovolemic shock has had less than 750 mL of blood loss and has experienced little to no changes in heart rate and blood pressure.
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