A nurse is caring for a client who sustained blood loss. Which is a manifestation of hypovolemia?

Dyspnea

Increased blood pressure

Weak pulse

Decreased heart rate

Answer and Explanation

The Correct Answer is C

A: Dyspnea, or difficulty breathing, can occur in various conditions but is not a primary manifestation of hypovolemia. Hypovolemia primarily affects the cardiovascular system due to reduced blood volume.

B: Increased blood pressure is not a typical manifestation of hypovolemia. In fact, hypovolemia usually leads to decreased blood pressure due to the reduced volume of circulating blood.

C: A weak pulse is a common manifestation of hypovolemia. The reduced blood volume leads to decreased cardiac output, resulting in a weak and thready pulse.

D: Decreased heart rate is not typical in hypovolemia. The body usually compensates for low blood volume by increasing the heart rate (tachycardia) to maintain adequate circulation.

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Correct Answer is C

Explanation

A: Keeping a fluorescent ceiling light on at night can be too bright and disrupt sleep. A nightlight is a better option for safety without disturbing sleep.

B: Keeping the walker at the end of the bed is not ideal. The walker should be within easy reach to prevent falls when getting out of bed.

C: Placing a bath seat in the shower is a good safety measure. It provides stability and reduces the risk of slipping and falling while bathing.

D: Placing an area rug at the entry of the bathroom can be a tripping hazard. It is better to use non-slip mats that are securely placed.

A. Petechiae B. Blood pressure C. Nausea D. Cyanosis

Correct Answer is C

Explanation

A: Petechiae are small red or purple spots on the body, caused by minor bleeding from broken capillary blood vessels. This is an objective finding that can be observed and measured by the nurse.

B: Blood pressure is an objective measurement that can be quantified using a sphygmomanometer. It provides numerical data about the patient’s cardiovascular status.

C: Nausea is a subjective symptom reported by the patient. It reflects the patient’s personal experience and cannot be directly observed or measured by the nurse. Subjective data are crucial for understanding the patient’s perspective and symptoms.

D: Cyanosis is a bluish discoloration of the skin and mucous membranes due to low oxygen levels in the blood. This is an objective finding that can be observed by the nurse.

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A nurse is caring for a client who sustained blood loss. Which is a manifestation of hypovolemia?

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Naxlex Comprehensive Predictor Exams

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