A nurse is collecting data from a client who sustained blood loss. Which of the following findings should the nurse identify as a manifestation of hypovolemia?

Increased blood pressure

Thready pulse

Dyspnea

Decreased heart rate

Answer and Explanation

The Correct Answer is B

A. Increased blood pressure: Hypovolemia typically causes a decrease in blood pressure, not an increase.
B. Thready pulse: A thready pulse is a common sign of hypovolemia due to decreased blood volume.
C. Dyspnea: While dyspnea can occur, it is not as specific as a thready pulse for hypovolemia.
D. Decreased heart rate: Hypovolemia usually causes an increased heart rate as the body tries to compensate for low blood volume.

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Correct Answer is D

Explanation

A. Cheddar cheese: While some cheeses contain potassium, cheddar cheese is not a particularly high source compared to bananas.
B. Cabbage: Cabbage contains some potassium, but again, bananas are a richer source.
C. White rice: White rice is generally low in potassium.
D. Bananas: They are a well-known source of potassium. Including bananas in the diet can help replenish potassium lost due to furosemide.

A. Pause the enema and give the client pain medication. B. Discontinue the enema. C. Continue the enema and reassure the client. D. Lower the height of the solution bag.

Correct Answer is D

Explanation

A. Pause the enema and give the client pain medication. Pain medication is not appropriate for mild cramping caused by an enema.
B. Discontinue the enema. Stopping the enema entirely may not be necessary and could prevent the procedure from being effective.
C. Continue the enema and reassure the client. Continuing the enema without adjustment may cause increased discomfort.
D. Lower the height of the solution bag. Lowering the height of the enema bag can reduce the flow rate, easing cramping and discomfort.

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A nurse is collecting data from a client who sustained blood loss. Which of the following findings should the nurse identify as a manifestation of hypovolemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who takes furosemide and has a serum potassium level of 3.1 mEq/L. Which of the following foods should the nurse instruct the client to include in his daily diet?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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