MEDizzy - The nurse is to observe the client for shock. The client’s

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The nurse is to observe the client for shock. The client’s admitting vital signs are blood pressure (BP) = 116/70, pulse = 86, and respirations = 24. Which finding, if observed, would be most suggestive of shock?

ExplanationWhen the client is in shock, the pulse rate increases, the blood pressure (BP) decreases, and the pulse pressure decreases. In answer 1, the BP is higher than the baseline, and the pulse pressure is wider. This finding is suggestive of increased intracranial pressure, not shock. In answer 3, the BP reading is so close to the baseline that any change is insignificant. A pulse rate of 60 in this client would suggest rising intracranial pressure, not shock.