Question about shock

Nursing Students Student Assist

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Hey this is my first post- so here goes :)

Which adaptation would be most indicative of shock?

a. hyperemia

b. hypotension

c. irregular pulse

d. slow respirations

i was thinking c...what do you think? Thanks!!!

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Specializes in Case Management, Home Health, UM.
Hey this is my first post- so here goes :)

Which adaptation would be most indicative of shock?

a. hyperemia

b. hypotension

c. irregular pulse

d. slow respirations

i was thinking c...what do you think? Thanks!!!

I'm thinking B, due to circulatory collapse.

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Thank You

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Specializes in OB, lactation.

yep, I think it's hypotension too :)

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Hey this is my first post- so here goes :)

Which adaptation would be most indicative of shock?

a. hyperemia

b. hypotension

c. irregular pulse

d. slow respirations

i was thinking c...what do you think? Thanks!!!

I vote for B as well, if the distractor C said tachycardia, then it would be a toss up between b and c, but just irregular pulse can be anything.

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i agree with B

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Look at the choices and it's ez to rule out the incorrect ones...

"Irregular pulse" and "slow respirations" are too vague-they could mean anything.

Hyperemia, an excess of blood in a particular area, doesn't occur in shock.

That leaves hypotension, which is a cardinal sign of neurogenic shock and a decompensated state in cardiogenic and anaphylactic.

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my bet would definitely be b. shock usually involves tachycardia (not irregular as stated) and hypotension.

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I agree with "B" and the circulatory collapse theory. I say this after almost losing a patient who was shocky. The first obvious change that she was going south was the hypotension:uhoh21:

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Specializes in Gerontological, cardiac, med-surg, peds.

Just remember that with pediatric patients, hypotension is not a hallmark sign of shock. Children's bodies do an amazing job of compensation and a decrease in blood pressure only occurs very late in shock, right before the child is about to crash.

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Specializes in Assisted Living Nurse Manager.

Yep, I agree with #B also. Everything I have been learning in school about hypovolemic shock states that the signs are increased pulse (tachycardia), increased respirations and decreased blood pressure (hypotension). I believe you would notice the increased pulse and respirations first and then a drastic decrease in blood pressure.

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Good point Vicky:)

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