A nurse is assessing a surgical patient for internal hemorrhage, which would be indicated by:
restlessness, rising pulse, and falling blood pressure.
lethargy, falling pulse, and rising blood pressure.
headache, rising pulse, and falling blood pressure.
restlessness, falling pulse, and rising blood pressure.
The Correct Answer is A
Choice A rationale:
Restlessness, rising pulse, and falling blood pressure are classic signs of shock, which can occur with internal hemorrhage.
Choice B rationale:
Lethargy, falling pulse, and rising blood pressure are not typically associated with internal hemorrhage.
Choice C rationale:
Headache, rising pulse, and falling blood pressure could be signs of many conditions, but they are not specific to internal hemorrhage.
Choice D rationale:
Restlessness, falling pulse, and rising blood pressure are not typically associated with internal hemorrhage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
A laceration is a cut or tear in the skin, not a raised scar.
Choice B rationale:
A contusion is a bruise caused by an impact to the skin, not a raised scar.
Choice C rationale:
A keloid is a thick, raised scar that can develop at the site of an injury or inflammation. It’s more common in people with darker skin tones.
Choice D rationale:
A hematoma is a collection of blood outside of the blood vessels, not a raised scar.
Correct Answer is D
Explanation
Choice A rationale:
Reconstruction is incorrect because it is not the second stage of wound healing.
Choice B rationale:
Maturation is incorrect because it is not the second stage of wound healing.
Choice C rationale:
Proliferation is incorrect because it is not the second stage of wound healing.
Choice D rationale:
Inflammation is the correct answer because it is the second stage of wound healing.
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