While waiting for the placenta to deliver during the third stage of labor, the nurse must assess the new mother's vital signs every 15 minutes.
What sign would indicate impending shock?.
Bradypnea and hypertension.
Tachycardia and a falling blood pressure.
Tachypnea and a widening pulse pressure.
Bradycardia and auscultation of fluid in the base of the lungs.
The Correct Answer is B
Choice A rationale:
Bradypnea and hypertension are not typically signs of impending shock.
Choice B rationale:
Tachycardia and a falling blood pressure are classic signs of shock as the body tries to compensate for the decreased blood flow.
Choice C rationale:
Tachypnea and a widening pulse pressure can be signs of shock, but they are not as indicative as tachycardia and a falling blood pressure.
Choice D rationale:
Bradycardia and auscultation of fluid in the base of the lungs are not typically signs of impending shock.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
No explanation
Correct Answer is D
Explanation
Choice A rationale:
A respiratory rate of 10 breaths/minute is low and could indicate magnesium toxicity.
Choice B rationale:
Difficulty in arousing could also indicate magnesium toxicity.
Choice C rationale:
Urinary output of 20 mL per hour is low and could indicate renal impairment.
Choice D rationale:
Deep tendon reflexes of 2+ would be considered normal and therefore a therapeutic level of the drug.
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