A nurse is monitoring a client with abruptio placentae. Which early sign should the nurse closely observe for as an indicator of hypovolemic shock?

Tachycardia is an early sign to monitor in a client with abruptio placentae as it can indicate hypovolemic shock. When significant blood loss occurs due to the separation of the placenta from the uterine wall, the body attempts to compensate for decreased circulating blood volume. One of the compensatory mechanisms is an increase in heart rate in order to maintain adequate blood flow and oxygen delivery to vital organs.

In the context of hypovolemic shock, the heart rate may exceed normal ranges as the body works to counteract the loss of blood volume. Monitoring a client’s heart rate can provide critical information regarding their hemodynamic status and the effectiveness of the compensatory mechanisms.

Recognizing tachycardia early allows for prompt intervention by the healthcare team, potentially preventing the progression of shock and improving outcomes for the client experiencing this condition.