In palpating a patient's feet and hands, you note extreme coolness to the touch. This finding is most consistent with which of the following?

a. Presence of a disorder causing chronic hypoxemia
b. Reduction in venous return to the right side of the heart
c. Peripheral vasoconstriction due to inade-quate perfusion
d. Presence of a disorder causing systemic hypertension


ANS: C
When perfusion is poor (as in heart failure or shock), the compensatory vasoconstriction in the extremities helps shunt blood to the vital organs. This reduction in peripheral perfusion causes the extremities to become cool to the touch. The extent to which the coolness to touch extends to-ward the body is an indication of the degree of circulatory failure.

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Fill in the blank(s) with the appropriate word(s).

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