A child presents to the Emergency Department with cardiac pump failure, and subsequently develops hypovolemic shock. Which assessment finding would the nurse recognize as an indicator of early hypovolemic shock?

1. Decreased blood pressure
2. Weak central pulses
3. Pale, cold skin
4. Tachycardia


4
Rationale:
1. Decreased blood pressure, weak central pulses, and pale, cold skin all are signs of late, profound shock. Tachycardia is a sign of early hypovolemic shock.
2. Decreased blood pressure, weak central pulses, and pale, cold skin all are signs of late, profound shock. Tachycardia is a sign of early hypovolemic shock.
3. Decreased blood pressure, weak central pulses, and pale, cold skin all are signs of late, profound shock. Tachycardia is a sign of early hypovolemic shock.
4. Decreased blood pressure, weak central pulses, and pale, cold skin all are signs of late, profound shock. Tachycardia is a sign of early hypovolemic shock.

Nursing

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