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:

Obtaining the number of the client’s provider is not the immediate action to take. The client is showing signs of a possible stroke (right-sided weakness and slurred speech), which is a medical emergency.

Choice B rationale:

Finding a location for the client to sit is not the immediate action to take. The client needs medical attention immediately due to the signs of a possible stroke.

Choice C rationale:

Driving the client to the nearest emergency room is not the best action to take. It would be faster and safer to call emergency medical services who are trained to handle such situations.

Choice D rationale:

Calling emergency medical services is the correct action. The client is showing signs of a possible stroke, which requires immediate medical attention.

A. The thickest part of the heart. B. Where blood leaves. C. Where blood enters. D. Called ventricles.

Correct Answer is C

Explanation

Choice A rationale:

The thickest part of the heart is not the upper chambers but the lower chambers, specifically the left ventricle. This is because it needs to pump blood to the entire body.

Choice B rationale:

Blood leaves the heart through the lower chambers, or ventricles, not the upper chambers.

Choice C rationale:

Blood enters the heart through the upper chambers, or atria. This is where deoxygenated blood from the body and oxygenated blood from the lungs first enter the heart.

Choice D rationale:

The term “ventricles” refers to the lower chambers of the heart, not the upper chambers.

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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?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

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?