A client who is postoperative is receiving IV fluids and a unit of whole blood.
The nurse should observe the client for which of the following as an early sign of circulatory overload?
Bradycardia.
Dyspnea.
Flushing.
Vomiting.
The Correct Answer is B
Choice A rationale:
Bradycardia, or a slow heart rate, is not typically an early sign of circulatory overload.
Choice B rationale:
Dyspnea, or difficulty breathing, is an early sign of circulatory overload. This occurs because the heart is unable to pump the excess blood effectively, leading to fluid buildup in the lungs.
Choice C rationale:
Flushing, or reddening of the skin, is not typically an early sign of circulatory overload.
Choice D rationale:
Vomiting is not typically an early sign of circulatory overload.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
Choice A rationale:
Encouraging range-of-motion exercises of the foot is not advisable because it can cause further injury to the ankle.
Choice B rationale:
Providing the client with a light snack is not directly related to the care of an ankle injury.
Choice C rationale:
Applying ice to the ankle can help reduce swelling and pain.
Choice D rationale:
Applying a compression bandage can help reduce swelling.
Choice E rationale:
Elevating the foot can help reduce swelling by promoting venous return.
Correct Answer is C
Explanation
Choice A rationale:
This statement is incorrect. Veins do not carry oxygenated blood away from the heart, and arteries do not carry deoxygenated blood toward the heart.
Choice B rationale:
This statement is incorrect. While it is true that veins carry deoxygenated blood, they carry it toward the heart, not away from it. Similarly, arteries carry oxygenated blood, but they carry it away from the heart, not toward it.
Choice C rationale:
This statement is correct. In the circulatory system, veins carry deoxygenated blood toward the heart, while arteries carry oxygenated blood away from the heart.
Choice D rationale:
This statement is incorrect. Veins do not carry oxygenated blood toward the heart, and arteries do not carry deoxygenated blood away from the heart.
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