Monday, February 3, 2014

NCLEX Question for signs as typical of the patient in shock

NCLEX Review Question

The nurse recognizes which of the following signs as typical of the patient in shock?

a.Rapid, weak, thready pulse
b.Flushed face
c.Warm, dry skin
d.Increased urine output

Correct Answer: A
Rapid, weak, thready pulse
Rationale: Pulse increases as the body tries to compensate.

Flushed face
Rationale: Pallor is an indicator of shock.

Warm, dry skin
Rationale: Skin is generally cool and moist in shock.

Increased urine output
Rationale: Usually, a low blood pressure and concentrated urine are observed in the patient in shock.

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