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.

Answer and Explanation

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.

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Correct Answer is ["50"]

Explanation

The correct answer is 50 gtt/min.

Calculation: First, calculate the total volume to be administered per minute: 400 mL / 8 hr = 50 mL/hr. Then, convert hours to minutes: 50 mL/hr * 1 hr/60 min = 0.833 mL/min. Finally, calculate the drip rate: 0.833 mL/min * 60 gtt/mL = 50 gtt/min.

A. "I will stop consuming alcohol.”. B. "I must stop smoking.”. C. "I am limiting my intake of fast foods.”. D. "I should lower my HDL cholesterol level.”. E. "I need to monitor my weight.”.

Correct Answer is ["B","C","E"]

Explanation

The correct answers are Choice B: "I must stop smoking.", Choice C: "I am limiting my intake of fast foods.", and Choice E: "I need to monitor my weight."

Choice A rationale:

Stopping alcohol consumption can have various health benefits, but moderate alcohol consumption is not a primary risk factor for coronary artery disease. Instead, excessive drinking is more concerning.

Choice B rationale:

Smoking is a significant risk factor for coronary artery disease. Quitting smoking greatly reduces the risk and improves overall cardiovascular health.

Choice C rationale:

Limiting fast food intake is an important dietary change, as fast foods are often high in unhealthy fats, salt, and calories, which can contribute to coronary artery disease.

Choice D rationale:

The statement "I should lower my HDL cholesterol level" is incorrect. HDL cholesterol is considered "good" cholesterol and helps to protect against heart disease. Therefore, lowering HDL cholesterol would not be beneficial.

Choice E rationale:

Monitoring and maintaining a healthy weight is crucial for reducing the risk of coronary artery disease. Excess weight, particularly around the abdomen, is a known risk factor.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["50"]

Explanation

A nurse is reinforcing teaching with a client regarding reduction of risk factors for coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

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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?