A nurse is assessing a client who is postpartum and is experiencing hemorrhagic shock. Which of the following findings should the nurse expect?

Hypertension

Bradypnea

Tachycardia

Polyuria

Answer and Explanation

The Correct Answer is C

A. Hypotension, not hypertension, is expected in hemorrhagic shock due to blood loss.
B. Tachypnea, not bradypnea, usually occurs as the body tries to compensate for hypoxia.
C. Tachycardia is an early compensatory response to blood loss to maintain cardiac output.
D. Oliguria (decreased urine output), not polyuria, is expected due to poor perfusion of kidneys in shock.

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Correct Answer is D

Explanation

A. An amniotic fluid index (AFI) less than 5 cm indicates oligohydramnios and potential fetal compromise.
B. Fetal limb movements fewer than 3 in 30 minutes may be concerning; however, 4 movements suggest some activity but must be assessed with other parameters.
C. A nonreactive nonstress test suggests fetal distress or lack of fetal well-being.
D. Sustained fetal breathing movements of at least 20 seconds in 30 minutes indicate good fetal neurologic function and well-being.

A. History of ovarian cysts B. Hypotension C. Migraine with aura D. Dysmenorrhea

Correct Answer is C

Explanation

A. History of ovarian cysts is not an absolute contraindication to oral contraceptives.
B. Hypotension is not a contraindication for oral contraceptives.
C. Migraine with aura is a contraindication due to increased risk of stroke associated with combined oral contraceptives in these clients.
D. Dysmenorrhea is often improved by oral contraceptive use and is not a contraindication.

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A nurse is assessing a client who is postpartum and is experiencing hemorrhagic shock. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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