A nurse is 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?

Unconsciousness

Tachycardia

Cold clammy skin

Diminished urine output

Answer and Explanation

The Correct Answer is B

Choice A reason: Unconsciousness is not typically a finding in the early compensatory stage of hypovolemic shock; it may occur in more advanced stages.

Choice B reason: Tachycardia, or rapid heartbeat, is a compensatory mechanism to maintain cardiac output during the early stages of hypovolemic shock.

Choice C reason: Cold clammy skin is a result of peripheral vasoconstriction, which is a compensatory response to maintain blood flow to vital organs.

Choice D reason: Diminished urine output occurs as the body conserves fluid in response to decreased blood volume.

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Correct Answer is A

Explanation

Choice A reason: Consuming alcohol as a coping mechanism for stress, especially before work, is concerning and unprofessional for a healthcare provider, as it can impair judgment and performance.

Choice B reason: Seeking advice from friends before asking someone out is a common social behavior and not typically a cause for concern.

Choice C reason: Taking deep breaths to manage anxiety is a healthy coping strategy and is not a cause for concern.

Choice D reason: Studying late into the night might indicate a high level of dedication or poor time management, but it is not inherently concerning unless it leads to chronic sleep deprivation.

A. "Relax. Take a few deep breaths. I'll stay with you." B. "I'll take your vital signs and call my supervisor." C. "Don't worry. She's done this many times before." D. "Why do you think you're having a heart attack, Mr. L?"

Correct Answer is A

Explanation

Choice A reason: This response is calming and supportive. It addresses Mr. L's immediate distress by providing reassurance and a directive that can help him manage his panic, which is essential in a situation where a patient is experiencing extreme anxiety.

Choice B reason: While taking vital signs is an important step, it should not be the first response. The priority is to address the patient's acute distress and provide reassurance.

Choice C reason: This response minimizes the patient's feelings and does not address his immediate fear or offer any comfort or support.

Choice D reason: Asking why he thinks he's having a heart attack could increase his anxiety. It's important to first calm the patient before attempting to rationalize the situation.

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A nurse is 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

Which of the following responses to anxiety is a cause for concern?

Correct Answer is A

Explanation

Mr. L, who has a severe fear of needles, is hospitalized on your medical unit. The laboratory technician enters to draw blood for the routine CBC, and Mr. L begins to cry out, "Get away from me! I can't breathe! I'm having a heart attack!" What should be your first response to Mr. L?

Correct Answer is A

Explanation

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