A patient with gastrointestinal bleeding is awake,alert,and oriented and has vital sign measurements of: blood pressure 130/90 mm Hg,pulse 118 beats/minute,respirations 18/minute,and temperature 98.6°F (37°C).Which finding should the nurse consider as a possible sign of early shock?

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When blood pressure falls,the body activates the sympathetic nervous system to increase cardiac output by causing the heart to beat faster and stronger.Compensatory responses produce the classic signs and symptoms of the initial stage of shock: tachycardia; tachypnea; restlessness; anxiety; and cool,clammy skin with pallor.A.C.D.These findings are all within normal limits and do not necessarily indicate manifestations of early shock.

A Patient with Gastrointestinal Bleeding Is Awake,alert,and Oriented and Has