medium · NCLEX-RN physiological

A nurse is caring for a client with hypovolemic shock. Which cue most likely indicates the client is still in the 'compensated' stage?

  1. Urine output of 60 mL/hour
  2. Profound hypotension with a blood pressure of 70/40 mm Hg, for this client.
  3. Bradycardia and warm, dry skin, in this situation, at this point in care.
  4. Tachycardia and cool, clammy skin with a relatively normal blood pressure

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