The nurse would assess the individual in the most serious stage of shock as a
A) 22-year-old man with a falling BP.
B) 35-year-old woman with a pulse pressure of 40.
C) 50-year-old woman with a MAP of 90.
D) 60-year-old man with a pulse rate of 100.

Question

Quizplus · Accepted Answer

Some people lose as much as 25% of their total blood volume without having a decrease in BP. This is especially true in young adults; therefore in young adults, falling BP is a very late manifestation of shock. A pulse pressure of 40 is normal ( 120/80 = pulse pressure of 40). A MAP of 90 would indicate a BP around 118/76 and is also normal. A pulse of 100 is still considered within the normal range.

The Nurse Would Assess the Individual in the Most Serious