A nurse is caring for a client who is 3 hr postoperative. Which of the following findings should the nurse understand is a manifestation of bleeding?

Hypertension

2+ edema

Crackles in lungs

Tachycardia

Answer and Explanation

The Correct Answer is D

D. Increased heart rate (tachycardia) is a common manifestation of bleeding. The body compensates for blood loss by increasing the heart rate to maintain blood flow to vital organs
A. Typically, bleeding would cause a decrease in blood pressure rather than hypertension. High blood pressure could indicate other issues like pain or anxiety
B. Edema is not typically a direct manifestation of bleeding. It could indicate fluid overload, a common complication post-surgery, but not necessarily indicative of bleeding.
C. Crackles in lungs could suggest fluid overload or pulmonary edema but not related to bleeding.

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Correct Answer is D

Explanation

Thawed FFP should be administered promptly. It can be stored at 1 to 6 degrees Celsius for up to 24 hours if not used immediately. However, it is best to administer it as soon as possible after thawing.
A. FFP should be administered through a larger-bore intravenous catheter (typically 18-20 gauge) to prevent clotting or clogging of the line.
B. The recommended infusion time for FFP is approximately 30 minutes to 1 hour. Rapid infusion helps maintain clotting factor activity.
C. FFP is specifically used to manage bleeding due to coagulopathy. If the client is actively bleeding, timely FFP administration is crucial.

A. Loss of hearing B. Muscle wasting C. Paresthesia D. Changes in vision

Correct Answer is C

Explanation

C. Paresthesia, or abnormal sensations like tingling, numbness, or burning, is a common neurological manifestation of pernicious anemia due to damage to the peripheral nerves caused by vitamin B12 deficiency. Paresthesia can affect balance and coordination, increasing the risk of falls and injuries, and thus posing a risk to the client's safety.
A. Loss of hearing is not typically associated with pernicious anemia.
B. Muscle wasting is not a typical manifestation of pernicious anemia. However, weakness and fatigue are common symptoms due to anemia resulting from decreased oxygen-carrying capacity of the blood.

D. While changes in vision can impact the client's safety, they are not as directly associated with pernicious anemia as paresthesia, which affects mobility and balance.

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A nurse is caring for a client who is 3 hr postoperative. Which of the following findings should the nurse understand is a manifestation of bleeding?

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Naxlex Comprehensive Predictor Exams

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