A client is receiving anticoagulant therapy to prevent blood clots. The nurse identifies a potential adverse effect of anticoagulation as:

Increased risk of bleeding.

Elevated blood pressure readings.

Hyperactivity and restlessness.

Increased blood viscosity.

Answer and Explanation

The Correct Answer is A

A) Correct. Anticoagulant therapy prevents blood from clotting effectively, which can lead to an increased risk of bleeding.

B) Incorrect. Anticoagulant therapy is not associated with elevated blood pressure readings.

C) Incorrect. Hyperactivity and restlessness are not typical adverse effects of anticoagulant therapy.

D) Incorrect. Anticoagulant therapy does not increase blood viscosity (thickness); instead, it reduces the blood's ability to form clots.

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Correct Answer is C

Explanation

A) Incorrect. Hemophilia does not increase the risk of forming blood clots. In fact, it causes difficulty in forming blood clots, leading to an increased risk of bleeding and hemorrhage.

B) Incorrect. Platelet count is not directly affected in hemophilia. It is primarily a disorder of clotting factors.

C) Correct. Hemophilia is a genetic disorder characterized by a deficiency or absence of specific clotting factors, which impairs the blood's ability to clot properly.

D) Incorrect. Hemophilia does not affect the number of red blood cells, which are responsible for oxygen transport.

A. Bradycardia B. Increased blood pressure C. Warm, flushed skin D. Decreased urine output

Correct Answer is B

Explanation

A) Incorrect. Bradycardia is not typically an early sign of compensatory response to hypovolemia. The body often responds to hypovolemia with an increased heart rate (tachycardia).

B) Correct. In the early stages of hypovolemia, the body may attempt to compensate by increasing blood pressure to maintain perfusion to vital organs.

C) Incorrect. Warm, flushed skin may be present in the initial stages of hypovolemia, but it is not necessarily an early sign of compensatory response.

D) Incorrect. Decreased urine output is a later sign of hypovolemia when the body's compensatory mechanisms are no longer effective in maintaining blood flow to the kidneys.

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A client is receiving anticoagulant therapy to prevent blood clots. The nurse identifies a potential adverse effect of anticoagulation as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with hemophilia. Which statement by the client indicates a correct understanding of the condition?

Correct Answer is C

Explanation

A client is brought to the emergency department with suspected internal bleeding. Which assessment finding would the nurse identify as an early sign of compensatory response to hypovolemia?

Correct Answer is B

Explanation

A nurse is providing discharge education to a client who experienced hemorrhage and received a blood transfusion. What should the nurse include in the client's education?

A nurse is caring for a client with liver cirrhosis. Which assessment finding supports the client's increased risk of hemorrhage?

A nurse is providing education to a group of pregnant clients about the risk factors for postpartum hemorrhage. Which client statement indicates a need for further clarification?

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

A nurse is caring for a client who is experiencing massive hemorrhage. Which intervention should the nurse prioritize to address hypovolemia?

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?

A nurse is caring for a client with suspected hemorrhage. Which diagnostic test should the nurse anticipate to identify the exact location and cause of bleeding?

A nurse is providing discharge education to a client with a history of bleeding disorders. Which instruction should the nurse include to promote client safety?