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 B

Explanation

Choice A rationale:

Scrambled eggs are soft and easy to chew and swallow, making them appropriate for a mechanically altered diet.

Choice B rationale:

Wheat toast is hard and requires more chewing, which may be difficult for a client on a mechanically altered diet.

Choice C rationale:

Cottage cheese is soft and easy to chew and swallow, making it appropriate for a mechanically altered diet.

Choice D rationale:

A sliced banana is soft and easy to chew and swallow, making it appropriate for a mechanically altered diet.

A. Drains the chest wall and empties into the superior vena cava. B. Are arteries that supply oxygenated-rich blood to the sex glands. C. Can be palpitated in the mid-upper arm in the antecubital space. D. Carries blood from abdominal organs to the liver for processing before returning to the heart.

Correct Answer is D

Explanation

Choice A rationale:

The hepatic portal system does not drain the chest wall and it does not empty into the superior vena cava.

Choice B rationale:

The hepatic portal system is not composed of arteries and it does not supply oxygenated-rich blood to the sex glands.

Choice C rationale:

The hepatic portal system cannot be palpitated in the mid-upper arm in the antecubital space.

Choice D rationale:

The hepatic portal system carries blood from abdominal organs to the liver for processing before returning to the heart.

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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 caring for a client who is receiving a mechanically altered diet.Which of the following food choices necessitates intervention by the nurse?

Correct Answer is B

Explanation

The nurse is talking to the patient caregiver about discharge instructions for the patient.They start to talk about blood flow through the body.The caregiver asks the nurse about the hepatic portal system and why it is important.The nurse responds that the Hepatic Portal System.

Correct Answer is D

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?