A client arrives in the emergency room in the nonprogressive stage of shock. What clinical manifestations would the nurse expect this client to exhibit?
A. Decreased heart rate and decreased urinary output
B. Increased heart rate and decreased urinary output
C. Increased pulse pressure and increased heart rate
D. Decreased pulse pressure and decreased heart rate
B
In the nonprogressive stage of shock, both kidney and cardiovascular compensations, in addition to chemical compensatory mechanisms, are needed. These result in an increase in heart rate and decrease in urinary output to maintain MAP (mean arterial pressure) and volume in the central blood vessels.
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