A nurse is assessing a client who experienced a significant hemorrhage. Which clinical manifestation should the nurse expect to find during the early stages of hemorrhage?
Bradycardia
Hypotension
Pallor
Restlessness
The Correct Answer is D
A) Incorrect. Bradycardia is not typically an early clinical manifestation of hemorrhage. The body may initially compensate for the blood loss by increasing heart rate (tachycardia).
B) Incorrect. Hypotension may occur later in the course of hemorrhage as blood loss progresses, but it is not an early manifestation.
C) Incorrect. Pallor (pale skin) may occur later as a result of decreased blood volume, but it is not an early sign.
D) Correct. Restlessness and anxiety are early manifestations of hemorrhage, reflecting the body's compensatory response to maintain perfusion in the early stages of blood loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Chronic use of NSAIDs, such as ibuprofen and aspirin, can irritate the stomach lining and increase the risk of gastric ulcers, including duodenal ulcers.
B) Incorrect. A diet high in fiber and whole grains is generally beneficial and does not directly cause duodenal ulcers.
C) Incorrect. While acidic foods and beverages may aggravate existing ulcers, they are not the primary cause of the ulcer.
D) Incorrect. Excessive intake of vitamin K-rich foods can promote blood clotting and is not a cause of duodenal ulcers.
Correct Answer is B
Explanation
A) Incorrect. Swelling and bruising around the wound are common signs of external bleeding and do not directly indicate internal bleeding.
B) Correct. Cool and pale skin in the extremities may be indicative of vasoconstriction and reduced blood flow, which can occur in response to internal bleeding.
C) Incorrect. Blood oozing from the wound site is a typical sign of external bleeding and does not necessarily indicate internal bleeding.
D) Incorrect. Visible blood clot formation at the wound site is a normal part of the body's hemostatic response to control external bleeding and does not directly suggest internal bleeding.
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