A nurse is caring for a client.
Complete the following sentence by using the lists of options.
The client is at risk of developing
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
The client has dark red vaginal bleeding and low hemoglobin (8.1 g/dL) and hematocrit (24%), which indicate significant blood loss.
The low blood pressure (95/62 mm Hg) and tachycardia (104 bpm) are signs of the body's response to blood loss, which can lead to hypovolemic shock.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Crackles in the lungs are a common finding in heart failure due to pulmonary congestion and fluid accumulation.
B. Decreased thirst is not typically associated with heart failure.
C. Tachycardia can occur in heart failure but is not as specific as crackles for diagnosing fluid overload.
D. Poor skin turgor is more indicative of dehydration, not heart failure.
Correct Answer is A
Explanation
A. Flumazenil is the antidote for benzodiazepine overdose and should be administered to reverse the effects of diazepam.
B. Monitoring the IV site is important but not an immediate priority in this situation.
C. Seizure precautions are not the primary concern after benzodiazepine overdose.
D. Evaluating for suicidal behavior is important but comes after stabilizing the client.
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