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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["7.5"]
Explanation
The correct answer is 7.5 mL.
Calculation: Determine the amount of medication in 1 mL of solution: 20 mg/5 mL = 4 mg/mL Determine the volume of solution needed to administer 30 mg: 30 mg / 4 mg/mL = 7.5 mL
Correct Answer is B
Explanation
Choice A rationale:
Low blood pressure (BP) is a symptom of hypovolemic shock due to decreased blood volume, but the pulse rate typically increases as the body tries to compensate for the low BP, not decrease.
Choice B rationale:
Hypovolemic shock is characterized by low BP due to loss of blood or fluid volume and a high pulse rate as the body tries to compensate for the decreased blood flow.
Choice C rationale:
High BP is not typically associated with hypovolemic shock. Instead, BP is usually low due to decreased blood volume.
Choice D rationale:
High BP is not typically a symptom of hypovolemic shock. While the pulse rate may be high as the body tries to compensate for low blood volume, the BP is usually low.
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