Quote from cindyRN 2006
I would say none of the answers in the first question are correct, You do not want to check temp. rectally unless you absolutely have to due to the risk of perforating the bowel.
This is true! Maybe you do have an old book!
The next one is
somewhat debatable (my opinion) but here is what "Medical-Surgical Nursing", 6th edition, 2000, by Lewis, Heitkemper, Dirkson says......(forgive me APA fans!) says about #2 and #3
#2-Cyanosis-in dark skinned individuals "Ashen or gray color most easily seen in the conjunctiva of the eye, mucous membranes, and nail beds"--pg 483
#3-"Stages of Shock--Initial Stage--decreased tissue perfusion-this stage is not be clinically apparent. Compensatory Stage--One of the first clinical signs of shock may be a fall in BP, which occurs as a result of a decrease in cardiac output."--pgs 1805-1806. The book goes on (and on and on...) to explain that next, the SNS simulates vasoconstriction to the most essential vital organs. Then in order, S&S are increase in venous return, increase in BP, slowing of peristalsis, cool and clammy, decrease in arterial oxygen, increase in respirations, THEN increase in heart rate. Hope this helps! Anyone got anything different?