A nurse is reviewing the laboratory results of a client with suspected hemorrhage. Which finding should the nurse expect to observe in a client experiencing acute blood loss?

Decreased platelet count.

Elevated hemoglobin levels.

Increased white blood cell count.

Elevated liver enzymes.

Answer and Explanation

The Correct Answer is B

A) Incorrect. Acute blood loss does not typically lead to a decreased platelet count. Platelet levels may remain within the normal range or slightly decrease due to hemodilution.

B) Correct. In acute blood loss, the concentration of red blood cells decreases, leading to hemoconcentration and elevated hemoglobin levels. This is the body's initial response to conserve oxygen-carrying capacity.

C) Incorrect. An increased white blood cell count is not a direct result of acute blood loss and may indicate other inflammatory or infectious processes.

D) Incorrect. Elevated liver enzymes are not a typical finding in acute blood loss. They are more indicative of liver injury or dysfunction.

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Correct Answer is C

Explanation

A) Incorrect. While pain management is essential, it is not the priority when dealing with active bleeding that requires immediate intervention.

B) Incorrect. Positioning the client comfortably is important, but it is not the priority when there is active bleeding.

C) Correct. The priority intervention is to apply direct pressure to the bleeding site to control and reduce bleeding until further assessment and medical assistance can be obtained.

D) Incorrect. Obtaining a detailed health history is valuable for understanding the client's overall health, but it is not the priority when the client is actively bleeding and requires immediate intervention.

A. Administering intravenous (IV) fluids rapidly. B. Administering supplemental oxygen. C. Monitoring the client's blood glucose levels. D. Performing neurological assessments.

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.

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A nurse is reviewing the laboratory results of a client with suspected hemorrhage. Which finding should the nurse expect to observe in a client experiencing acute blood loss?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing active bleeding. What is the nurse's priority intervention?

Correct Answer is C

Explanation

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

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