Which finding most strongly indicates that compensated shock in a child has progressed to decompensated shock?
Correct answer: C. Lethargy, weak pulses, and falling blood pressure
- A. Cool hands with a prolonged capillary refill
- B. Fast pulse with normal blood pressure
- C. Lethargy, weak pulses, and falling blood pressure
- D. Anxiety with increased respiratory rate
Explanation
Decompensated shock occurs when compensatory mechanisms can no longer maintain organ perfusion. Altered consciousness, weak pulses, and hypotension are late danger signs, while tachycardia and cool skin may occur earlier with a normal blood pressure.
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About Paediatric Emergencies
Paediatric emergencies cover rapid assessment using airway, breathing and circulation, basic life support, respiratory distress, choking, shock, seizures, poisoning, burns, severe dehydration and trauma. Questions focus on recognising danger signs, prioritising immediate nursing actions, calculating weight-based treatment and distinguishing compensated from decompensated shock.
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