The nurse obtains vital signs on a patient with gastrointestinal bleeding who has a large, dark red, foul-smelling stool. Which of these vital sign changes should the nurse report as indicative of early shock?
a. Decreasing systolic blood pressure, bradycardia, and slow respirations
b. Rise in diastolic blood pressure, bradycardia, and slow respirations
c. Drop in diastolic blood pressure, bradycardia, and shallow respirations
d. Normal blood pressure, tachycardia, and rapid respirations
ANS: D
Normal blood pressure, tachycardia, and rapid respirations occur in mild shock due to compensatory mechanisms. As shock progresses and compensatory mechanisms begin to fail, vital signs decrease.
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