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A client who is postoperative is receiving IV fluids and a unit of whole blood.
The nurse should observe the client for which of the following as an early sign of circulatory overload?

Bradycardia.

Dyspnea.

Flushing.

Vomiting.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Bradycardia, or a slow heart rate, is not typically an early sign of circulatory overload.

Choice B rationale:

Dyspnea, or difficulty breathing, is an early sign of circulatory overload. This occurs because the heart is unable to pump the excess blood effectively, leading to fluid buildup in the lungs.

Choice C rationale:

Flushing, or reddening of the skin, is not typically an early sign of circulatory overload.

Choice D rationale:

Vomiting is not typically an early sign of circulatory overload.

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Correct Answer is C

Explanation

Choice A rationale:

This statement is incorrect because the pulmonary vein carries oxygenated blood from the lungs to the left atrium, not from the left ventricle.

Choice B rationale:

This statement is incorrect because the pulmonary artery carries deoxygenated blood from the right ventricle to the lungs, not from the left ventricle.

Choice C rationale:

This statement is correct. When the left ventricle contracts, it pushes blood through the aortic semilunar valve into the aorta, the largest artery in the body.

Choice D rationale:

This statement is incorrect because the inferior vena cava carries deoxygenated blood from the lower half of the body to the right atrium, not from the left ventricle.

A. Complete two cycles of compression/rescue breathing before attaching the automated external defibrillator (AED) B. Provide chest compressions at a rate of 100/min. C. Check for a brachial pulse. D. After a set of 50 compressions, give the client 2 rescue breaths.

Correct Answer is B

Explanation

Choice A rationale:

While it’s important to start CPR as soon as possible, the AED should be attached as soon as it’s available.

Choice B rationale:

The American Heart Association recommends providing chest compressions at a rate of 100-120/min during CPR.

Choice C rationale:

Checking for a brachial pulse is not a priority during CPR. The focus should be on providing chest compressions and rescue breaths.

Choice D rationale:

The correct ratio of compressions to breaths during CPR is 30:2, not 50:2.

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A client who is postoperative is receiving IV fluids and a unit of whole blood. The nurse should observe the client for which of the following as an early sign of circulatory overload?

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A client who is postoperative is receiving IV fluids and a unit of whole blood.
The nurse should observe the client for which of the following as an early sign of circulatory overload?