Types and Management of Shock · NCLEX Exam

In hypovolemic shock, what is an expected change in skin perfusion?

  1. Warm, flushed, dry skin
  2. Cool, pale, clammy skin with delayed capillary refill
  3. Jaundiced skin with bounding pulses
  4. Mottled warm skin with rapid capillary refill
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Correct answer: Cool, pale, clammy skin with delayed capillary refill

Hypovolemia triggers peripheral vasoconstriction, producing cool, pale, clammy skin and delayed capillary refill as blood is shunted to vital organs. Warm or flushed skin is more typical of early distributive shock.

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