A nurse assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock.
Which of the following findings should the nurse expect?

Tachycardia.

Diminished urine output.

Cold clammy skin.

Unconsciousness.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Tachycardia, or a rapid heart rate, is a common early sign of hypovolemic shock as the body tries to compensate for the decreased blood volume by increasing the heart rate.

Choice B rationale:

Diminished urine output is a sign of hypovolemic shock, but it is not typically an early sign.

Choice C rationale:

Cold, clammy skin is a sign of hypovolemic shock, but it is not typically an early sign.

Choice D rationale:

Unconsciousness is a late sign of hypovolemic shock, indicating severe blood loss and inadequate perfusion to the brain.

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Correct Answer is D

Explanation

Choice A rationale:

Respiratory acidosis is characterized by a high PaCO2 and a low pH. The client’s ABG results do not match this pattern.

Choice B rationale:

Metabolic acidosis is characterized by a low HCO3 and a low pH. The client’s ABG results do not match this pattern.

Choice C rationale:

Respiratory alkalosis is characterized by a low PaCO2 and a high pH. The client’s ABG results do not match this pattern.

Choice D rationale:

Metabolic alkalosis is characterized by a high HCO3 and a high pH. The client’s ABG results match this pattern. Normal values for pH, PaCO2, and HCO3 are 7.35-7.45, 35-45 mm Hg, and 22-26 mEq/L respectively.

A. Initiate diuretic therapy. B. Implement seizure precautions. C. Prepare the client for hemodialysis. D. Administer phosphate.

Correct Answer is B

Explanation

Choice A rationale:

Initiating diuretic therapy is incorrect because it would further decrease the client’s already low calcium level.

Choice B rationale:

Implementing seizure precautions is correct because hypocalcemia can cause neuromuscular irritability and seizures.

Choice C rationale:

Preparing the client for hemodialysis is incorrect because it is not the first-line treatment for hypocalcemia.

Choice D rationale:

Administering phosphate is incorrect because it would further decrease the client’s already low calcium level.

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A nurse assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock.Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the arterial blood gas (ABG) results of a client.The client's ABGs are: pH: 7.6. PaCO2: 40 mm Hg. HCO3: 32 mEq/L. Which of the following acid-base conditions should the nurse identify the client is experiencing?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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A nurse assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock.
Which of the following findings should the nurse expect?