A client is brought to the emergency department with suspected internal bleeding. Which assessment finding would the nurse identify as an early sign of compensatory response to hypovolemia?
Bradycardia
Increased blood pressure
Warm, flushed skin
Decreased urine output
The Correct Answer is B
A) Incorrect. Bradycardia is not typically an early sign of compensatory response to hypovolemia. The body often responds to hypovolemia with an increased heart rate (tachycardia).
B) Correct. In the early stages of hypovolemia, the body may attempt to compensate by increasing blood pressure to maintain perfusion to vital organs.
C) Incorrect. Warm, flushed skin may be present in the initial stages of hypovolemia, but it is not necessarily an early sign of compensatory response.
D) Incorrect. Decreased urine output is a later sign of hypovolemia when the body's compensatory mechanisms are no longer effective in maintaining blood flow to the kidneys.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Electric razors are safer than traditional razors because they reduce the risk of cuts and bleeding in clients with bleeding disorders.
B) Incorrect. Adequate hydration is essential for overall health, and limiting fluid intake is not recommended for clients with bleeding disorders.
C) Incorrect. High-impact exercises can increase the risk of injury and bleeding in clients with bleeding disorders. Low-impact exercises are preferable.
D) Incorrect. Nonsteroidal anti-inflammatory drugs (NSAIDs) can increase the risk of bleeding and should be avoided by clients with bleeding disorders.
Correct Answer is C
Explanation
A) Incorrect. Hemophilia does not increase the risk of forming blood clots. In fact, it causes difficulty in forming blood clots, leading to an increased risk of bleeding and hemorrhage.
B) Incorrect. Platelet count is not directly affected in hemophilia. It is primarily a disorder of clotting factors.
C) Correct. Hemophilia is a genetic disorder characterized by a deficiency or absence of specific clotting factors, which impairs the blood's ability to clot properly.
D) Incorrect. Hemophilia does not affect the number of red blood cells, which are responsible for oxygen transport.
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