The nurse is caring for a 52-year-old male patient with a bowel obstruction. Which of these signs would be the earliest indicator to the nurse that the patient is developing symptoms of shock?
Urine output 18 mL/hr.
Blood pressure 88/50 mmHg.
Lethargy.
Pulse 110 bpm.
The Correct Answer is A
Choice A reason: A urine output of 18 mL/hr is significantly lower than the normal range (typically around 0.5-1 mL/kg/hr), indicating possible renal hypoperfusion, an early sign of shock.
Choice B reason: While blood pressure is an important indicator, it may not drop until later stages of shock.
Choice C reason: Lethargy can be a sign of shock, but it is a more subjective and later symptom compared to the objective measure of urine output.
Choice D reason: An elevated pulse is a compensatory mechanism in shock, but it is not as specific an early indicator as a decrease in urine output.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
Choice A reason: People with Narcissistic Personality Disorder (NPD) typically do not give credit to others; they are more likely to take credit for themselves.
Choice B reason: Giving grandiose credit to oneself is a common behavior in NPD, as individuals with this disorder often exaggerate their achievements and talents.
Choice C reason: Being unable to make decisions is not a typical characteristic of NPD.
Choice D reason: "Blowing their own horns" is an expression that means to boast about oneself, which is a behavior often associated with NPD.
Choice E reason: Individuals with NPD may choose friends based on how good they make them feel, often seeking out people who will admire them.
Choice F reason: NPD is not similar to Schizoid Personality Disorder; they are distinct conditions with different characteristics.
Correct Answer is D
Explanation
Choice A reason: Thinking/content of thought refers to the logical process of thought and coherence, not directly to the experience of reality.
Choice B reason: Mood and affect pertain to the emotional state and its expression, not the perception of reality.
Choice C reason: Judgment involves decision-making abilities and the evaluation of situations, not the perception of reality.
Choice D reason: Perception is the component that deals with how a person experiences reality, including any hallucinations or delusions they may have.
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