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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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miya123 miya123
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6 years ago
When caring for a postpartum woman experiencing hemorrhagic shock, the nurse recognizes that the most objective and least invasive assessment of adequate organ perfusion and oxygenation is:
 
  a. Absence of cyanosis in the buccal mucosa.
  b. Cool, dry skin.
  c. Diminished restlessness.
  d. Urinary output of at least 30 mL/hr.
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#1
6 years ago
ANS: D
Hemorrhage may result in hemorrhagic shock. Shock is an emergency situation in which the perfusion of body organs may become severely compromised and death may occur. The presence of adequate urinary output indicates adequate tissue perfusion. The assessment of the buccal mucosa for cyanosis can be subjective. The presence of cool, pale, clammy skin would be an indicative finding associated with hemorrhagic shock. Hemorrhagic shock is associated with lethargy, not restlessness.
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