While Caring for a Seriously Ill Patient, the Nurse Determines

Multiple Choice

While caring for a seriously ill patient, the nurse determines that the patient may be in the compensatory stage of shock on finding

A) cold, mottled extremities.
B) restlessness and apprehension.
C) a heart rate of 120 and cool, clammy skin.
D) systolic BP less than 90 mm Hg.