A nurse is monitoring a client for potential hemorrhage after a medical procedure. Which vital sign change is an early indicator of internal bleeding?

Hypertension

Bradycardia

Tachypnea

Hyperthermia

Answer and Explanation

The Correct Answer is C

A. Hypertension is not an early sign of hemorrhage; instead, hypotension occurs as blood loss progresses.
B. Bradycardia is not an expected response; tachycardia is more common due to compensatory mechanisms.
C. Tachypnea is an early indicator of internal bleeding as the body attempts to compensate for decreased oxygen delivery by increasing respiratory rate.
D. Hyperthermia is not associated with hemorrhage; instead, hypothermia can occur with significant blood loss.

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Correct Answer is A

Explanation

A) Correct. The priority during the initial resuscitation phase of hypovolemic shock is to replace lost intravascular volume promptly. Administering IV fluids rapidly is crucial to improve tissue perfusion and blood pressure.

B) Incorrect. While administering supplemental oxygen is important for tissue oxygenation, it is not the primary intervention during the initial resuscitation phase.

C) Incorrect. Monitoring blood glucose levels is important for overall assessment but is not the priority during the initial resuscitation phase of hypovolemic shock.

D) Incorrect. Neurological assessments are essential but may not be the immediate priority during the initial resuscitation phase of hypovolemic shock.

A. Monitoring the client's pain level. B. Encouraging the client to breastfeed frequently. C. Assessing the client's uterine contractions. D. Educating the client about contraceptive methods.

Correct Answer is C

Explanation

A) Incorrect. While monitoring the client's pain level is important, it is not the priority when managing postpartum hemorrhage.

B) Incorrect. While breastfeeding can help stimulate uterine contractions, it is not the priority when actively managing postpartum hemorrhage.

C) Correct. Assessing the client's uterine contractions is the priority when managing postpartum hemorrhage. Weak or ineffective contractions can contribute to excessive bleeding after childbirth.

D) Incorrect. While educating the client about contraceptive methods is essential for family planning, it is not the immediate priority when managing postpartum hemorrhage.

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A nurse is monitoring a client for potential hemorrhage after a medical procedure. Which vital sign change is an early indicator of internal bleeding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with hypovolemic shock due to hemorrhage. Which intervention should the nurse prioritize during the initial resuscitation phase?

Correct Answer is A

Explanation

A client is experiencing postpartum hemorrhage. What should the nurse prioritize when providing care to this client?

Correct Answer is C

Explanation

A nurse is providing education to a client with a bleeding disorder about home safety measures. What should the nurse include in the client's teaching?

A client has experienced a significant hemorrhage and is at risk of developing anemia. Which dietary recommendation should the nurse provide to the client to support iron intake?

A nurse is caring for a client at risk of hemorrhage. What is the nurse's priority action to prevent bleeding complications?

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A nurse is caring for a client with suspected internal bleeding. Which assessment finding requires immediate intervention?

A nurse is caring for a client with suspected hemorrhage. The nurse should anticipate which diagnostic test as a priority to identify the cause and source of bleeding?

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