A patient with suspected internal bleeding after blunt abdominal trauma becomes restless, pale, and tachycardic. Which assessment finding best indicates worsening hypovolaemic shock?
Correct answer: C. Reduced urine output with a weak rapid pulse
- A. Warm flushed skin with a slow pulse
- B. Increasing urine output with normal mentation
- C. Reduced urine output with a weak rapid pulse
- D. Bradycardia with warm dry extremities
Explanation
Blood loss reduces circulating volume, causing compensatory tachycardia and peripheral vasoconstriction, followed by reduced renal perfusion and oliguria. Warm skin and bradycardia are more consistent with other conditions, not typical early hypovolaemia.
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About Burns and Trauma Nursing
Covers the initial and continuing care of patients with burns, haemorrhage, fractures, head injury, chest trauma and shock. It includes burn depth and surface-area estimation, airway protection, fluid resuscitation, wound care, infection prevention, pain management and the distinction between hypovolaemic, septic and neurogenic shock.
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50 free Burns and Trauma Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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