The trauma nurse is caring for a patient who was ejected from a motor vehicle. Which of the following alerts the nurse to the manifestations of hemorrhagic shock? Directions for drag and drop: Click your answer choice from the possible answers box on the left and drag to the Selected Answers box on the right.

A. Tachycardia: Tachycardia is an early compensatory response to hemorrhagic shock. As blood volume decreases, the body increases heart rate to maintain cardiac output and perfusion to vital organs. Persistent tachycardia in the trauma patient signals ongoing hypovolemia and inadequate tissue perfusion. B. Bradycardia: Bradycardia is not typical in hemorrhagic shock; it may occur in late-stage shock due to severe hypoxia or increased intracranial pressure, but it is not a primary indicator of acute blood loss or hypovolemia. C. Numbness in the extremities: Numbness is not a direct manifestation of hemorrhagic shock. While peripheral hypoperfusion can cause coolness or pallor, sensory deficits are not a hallmark of acute blood loss. D. Warm extremities: Warm extremities are usually associated with early sepsis or distributive shock, not hemorrhagic shock. In hypovolemic shock, peripheral vasoconstriction leads to cool, clammy extremities. E. Hypotension: Hypotension is a classic sign of worsening hemorrhagic shock. As blood volume decreases, systemic perfusion drops, and blood pressure falls, indicating decompensation and the need for immediate intervention. F. Hyperreactive reflexes: Hyperactive reflexes are not associated with hemorrhagic shock; they are more related to neurological disorders or metabolic disturbances, not acute hypovolemia. G. Cool extremities: Cool, clammy skin reflects peripheral vasoconstriction as the body attempts to preserve core perfusion. It is a key physical manifestation of hypovolemic shock and indicates inadequate tissue perfusion. H. Hypertension: Hypertension is not typical in hemorrhagic shock; it may occasionally occur transiently due to pain or anxiety, but sustained high blood pressure is not a manifestation of significant blood loss.