A nurse assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock.
Which of the following findings should the nurse expect?
Tachycardia.
Diminished urine output.
Cold clammy skin.
Unconsciousness.
The Correct Answer is A
Choice A rationale:
Tachycardia, or a rapid heart rate, is a common early sign of hypovolemic shock as the body tries to compensate for the decreased blood volume by increasing the heart rate.
Choice B rationale:
Diminished urine output is a sign of hypovolemic shock, but it is not typically an early sign.
Choice C rationale:
Cold, clammy skin is a sign of hypovolemic shock, but it is not typically an early sign.
Choice D rationale:
Unconsciousness is a late sign of hypovolemic shock, indicating severe blood loss and inadequate perfusion to the brain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Discarding any partial doses found in the cabinet in the sharps container is not the correct procedure. Partial doses should be wasted in the presence of another nurse.
Choice B rationale:
Verifying that the amounts of each medication counted match the amounts on the inventory record is the correct procedure. This ensures accurate accounting of controlled substances.
Choice C rationale:
Setting aside any controlled substances the nurse plans to give during her shift is not the correct procedure. Medications should be removed from the secure cabinet as needed.
Choice D rationale:
Co-signing any notations of wasting controlled substances on the previous shift is not the correct procedure. Wasting should be witnessed and co-signed at the time it occurs.
Correct Answer is C
Explanation
Choice A rationale:
This statement is incorrect because the pulmonary vein carries oxygenated blood from the lungs to the left atrium, not from the left ventricle.
Choice B rationale:
This statement is incorrect because the pulmonary artery carries deoxygenated blood from the right ventricle to the lungs, not from the left ventricle.
Choice C rationale:
This statement is correct. When the left ventricle contracts, it pushes blood through the aortic semilunar valve into the aorta, the largest artery in the body.
Choice D rationale:
This statement is incorrect because the inferior vena cava carries deoxygenated blood from the lower half of the body to the right atrium, not from the left ventricle.
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