The nurse, caring for a patient with hypovolemic shock is concerned that which of the following could occur with this patient's pulmonary gas exchange?
1. over oxygenation
2. build up of electrolytes in the blood
3. oxygen delivery shift to osmosis
4. insufficient distribution of oxygen
4
Rationale: Since adequate blood flow must exist to distribute the oxygenated blood to the left side of the heart and the systemic circulation, the patient with hypovolemic shock is not going to have sufficient blood flow which can lead to an insufficient distribution of oxygen to the tissues. Hypovolemic shock will not over oxygenate the patient nor create a build up of electrolytes in the blood. Oxygen delivery is through diffusion and not osmosis.
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