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Title: Which assessment data would cause the nurse to suspect that a pediatric client is experiencing ... Post by: banussss on Feb 5, 2018 Which assessment data would cause the nurse to suspect that a pediatric client is experiencing hypovolemic shock? Select all that apply.
1. Dyspnea 2. Bradycardia 3. Tachycardia 4. Capillary refill time greater than 3 seconds. 5. Blood pressure 72/42 mmHg Title: Which assessment data would cause the nurse to suspect that a pediatric client is experiencing ... Post by: dededeed on Feb 5, 2018 1, 3, 4
Explanation: 1. Increased work of breathing is an early sign of shock, indicating compensation for decreased cardiac output and volume. 2. Bradycardia is a late and ominous sign of shock indicating that the child is no longer able to compensate. 3. Tachycardia is an early compensatory mechanism for hypovolemia in a child. 4. Decreased capillary refill time would be an early indicator of decreased fluid volume and compensation. 5. Decreased blood pressure is a later finding and would not occur until other compensatory mechanisms were exhausted. |