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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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Limit fluid intake to 1,000 mL daily. Increasing fluid intake, not limiting it, helps alleviate constipation.
B. Bear down hard when defecating. Bearing down hard can cause harm, such as hemorrhoids, and does not help relieve constipation.
C. Reduce activity: Increasing physical activity helps promote bowel movements, so reducing activity is not advisable.
D. Eat raw vegetables. Raw vegetables are high in fiber and can help alleviate constipation.

A. Observe the client. B. Complete an incident report. C. Notify the nurse manager. D. Call the client's provider.

Correct Answer is A

Explanation

A. Observe the client. The first priority is to monitor the client for any adverse reactions or side effects from the wrong medication.
B. Complete an incident report. While important, the incident report is not the first action to take.
C. Notify the nurse manager. Informing the nurse manager is necessary, but not the immediate first step.
D. Call the client's provider. Notifying the provider is also important but observing the client for any immediate effects takes precedence.

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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

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