The compensatory stage of shock results in what assessment findings?

Hypotension, rapid thready pulse, cool pale skin.

Increased urine output.

Pale, mottled, or cyanotic skin.

Stupor and loss of reflexes.

Answer and Explanation

The Correct Answer is A

Choice A reason: Hypotension, rapid thready pulse, cool pale skin. In the compensatory stage of shock, the body attempts to maintain blood pressure and perfusion by increasing the heart rate and constricting blood vessels. Despite these efforts, hypotension can occur, and the skin may become cool and pale due to reduced blood flow to the periphery.

Choice B reason: Increased urine output. In shock, particularly during the compensatory stage, urine output typically decreases as the body attempts to conserve fluids. Increased urine output would not be expected in this context.

Choice C reason: Pale, mottled, or cyanotic skin. These skin changes are more characteristic of the progressive or irreversible stages of shock, indicating severe hypoperfusion and tissue hypoxia. In the compensatory stage, the skin is usually cool and pale, but not yet mottled or cyanotic.

Choice D reason: Stupor and loss of reflexes. These neurological changes are more typical of the later stages of shock when perfusion to the brain is severely compromised. In the compensatory stage, mental status changes may be present but are less severe.

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Correct Answer is ["A","B","C"]

Explanation

Choice A reason: Tachycardia. In late septic shock, the body attempts to compensate for poor perfusion and low blood pressure by increasing the heart rate. Tachycardia is a common finding as the heart tries to pump more blood to the tissues.

Choice B reason: Lethargic mental status. As septic shock progresses, decreased perfusion to the brain can lead to changes in mental status, such as lethargy or confusion. This reflects the severity of the condition and the impact on the central nervous system.

Choice C reason: Anuria. Anuria, or the absence of urine output, occurs in late septic shock due to severe hypoperfusion and failure of the kidneys. It is a critical sign indicating that the body's organs are shutting down.

Choice D reason: Normal blood pressure. In late septic shock, blood pressure is typically very low due to systemic vasodilation and fluid loss. Normal blood pressure would not be expected at this advanced stage.

Choice E reason: Warm flushed skin. Warm flushed skin is associated with the early stages of septic shock when vasodilation leads to increased blood flow to the skin. In late septic shock, the skin is more likely to be cool and pale due to poor perfusion.

A. Hyperactive bowel sounds B. Diffuse tenderness upon palpation C. Hypoactive bowel sounds D. Evidence of Cullen's sign

Correct Answer is C

Explanation

Choice A reason:

Hyperactive bowel sounds are not typically associated with shock. Shock, particularly in its later stages, often leads to reduced perfusion to the gastrointestinal tract, which can cause decreased bowel activity. Hyperactive bowel sounds might be seen in other conditions such as gastrointestinal infections or bowel obstructions but are not characteristic of shock.

Choice B reason:

Diffuse tenderness upon palpation can be seen in various abdominal conditions, such as peritonitis or appendicitis, but it is not a hallmark sign of shock. While abdominal tenderness can occur if the patient has experienced trauma to the abdomen, it is not a primary sign used to diagnose shock.

Choice C reason:

Hypoactive bowel sounds are a common finding in patients experiencing shock. As the body prioritizes blood flow to vital organs like the brain and heart, blood flow to the gastrointestinal tract is reduced, leading to decreased bowel activity. This is consistent with the body's physiological response to shock and makes hypoactive bowel sounds the correct choice.

Choice D reason:

Cullen's sign, which is bruising around the umbilicus, is indicative of intra-abdominal bleeding, such as from pancreatitis or ruptured ectopic pregnancy. It is not a general sign of shock and would not be expected in all shock patients. Therefore, Cullen's sign is not the correct answer in this context.

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The compensatory stage of shock results in what assessment findings?

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Correct Answer is C

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