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    Ati Med Surg 2 Proctored Exam (Anderson)

    A nurse is caring for a client who is at risk for shock. Which of the following findings should the nurse expect?

    Explanation & Rationale

    A. Increased urine output is incorrect because in shock, perfusion to the kidneys is reduced. This typically leads to oliguria (decreased urine output), not an increase, as the body attempts to conserve fluid and maintain blood pressure. B. Hyperactive bowel sounds is incorrect because decreased perfusion to the gastrointestinal tract during shock often results in hypoactive or absent bowel sounds, abdominal distension, and impaired digestion. C. Bradycardia is incorrect because the compensatory response to shock is usually tachycardia, as the heart attempts to maintain cardiac output in the presence of hypotension. Bradycardia may occur in late or decompensated shock but is not an early expected finding. D. Hypotension is correct because shock involves inadequate tissue perfusion due to decreased circulating volume, cardiac output, or vascular tone. Low blood pressure is a hallmark sign of shock and indicates the body is failing to maintain adequate perfusion to vital organs.

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