A Diabetic Patient Who Has Had Vomiting and Diarrhea for the Past

Multiple Choice

A diabetic patient who has had vomiting and diarrhea for the past 3 days is admitted to the hospital with a blood glucose of 748 mg/ml (41.5 mmol/L) and a urinary output of 120 ml in the first hour. The vital signs are blood pressure (BP) 72/62; pulse 128, irregular and thready; respirations 38; and temperature 97° F (36.1° C) . The patient is disoriented and lethargic with cold, clammy skin and cyanosis in the hands and feet. The nurse recognizes that the patient is experiencing the

A) progressive stage of septic shock.
B) compensatory stage of diabetic shock.
C) refractory stage of cardiogenic shock.
D) progressive stage of hypovolemic shock.