The nurse is caring for a patient whose progressing infection places her at high risk for shock. What assessment finding would the nurse consider a potential sign of shock?
A) Elevated systolic blood pressure
B) Elevated mean arterial pressure (MAP)
C) Shallow, rapid respirations
D) Bradycardia
Ans: C
Feedback:
A symptom of shock is shallow, rapid respirations. Systolic blood pressure drops in shock, and MAP is less than 65 mm Hg. Bradycardia occurs in neurogenic shock; other states of shock have tachycardia as a symptom. Infection can lead to septic shock.
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