The trauma patient's vital signs were 100/60 mm Hg, 96 beats per minute, and 24 breaths per minute when they arrived. The patient is agitated and asks "where am I?" frequently. She has dry, cold skin. The patient's vital signs are 104/84 mm Hg, 108 bpm, and 28 breaths per minute. Which stage of shock is the patient exhibiting symptoms and signs of?