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    Ati Nur 213 Lifespan 3 Proctored Exam(Fundamental Exam)

    A nurse is caring for a client who has hypovolemic shock. Which of the following should the nurse recognize as an expected finding?

    Explanation & Rationale

    A. Hypertension: In hypovolemic shock, the body’s compensatory mechanisms initially try to maintain blood pressure, but as the shock worsens and blood volume continues to decrease, blood pressure typically drops causing hypotension rather than increases. Therefore, hypertension is not an expected finding. B. Flushing of the skin: Flushing of the skin is more commonly associated with conditions like fever or septic shock, not hypovolemic shock. In hypovolemic shock, the skin may appear cool, pale, and clammy due to reduced perfusion. C. Oliguria: Oliguria, or reduced urine output, is a common finding in hypovolemic shock. Decreased blood volume leads to decreased renal perfusion, and the kidneys conserve fluid by reducing urine output, which is an expected compensatory mechanism in response to shock. D. Bradypnea: In hypovolemic shock, the body typically increases respiratory rate (tachypnea) to compensate for the low oxygen levels due to reduced perfusion, not bradypnea (slow breathing). Therefore, bradypnea is not an expected finding in hypovolemic shock.

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