When assessing a child after heart surgery to correct tetralogy of Fallot, which of the following should alert the nurse to suspect a low cardiac output?
1. Bounding pulses and mottled skin.
2. Altered level of consciousness and thready pulse.
3. Capillary refill of 2 seconds and blood pressure of 96/67 mm Hg.
4. Extremities warm to the touch and pale skin.
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