A trauma patient remains hypotensive after visible bleeding has been controlled. The nurse notes cool clammy skin, a weak rapid pulse, and delayed capillary refill. Which finding most directly supports continuing hypovolaemic shock?
Correct answer: C. Low urine output with increasing restlessness
- A. Bradycardia with warm dry skin
- B. Bounding pulses with flushed skin
- C. Low urine output with increasing restlessness
- D. Slow breathing with equal pupils
Explanation
Reduced circulating volume lowers renal perfusion and produces oliguria, while cerebral hypoperfusion may cause restlessness. Warm dry skin and bradycardia are more consistent with neurogenic shock than with ongoing blood loss.
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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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