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 D

Explanation

Choice A rationale:

The hepatic portal system does not drain the chest wall and it does not empty into the superior vena cava.

Choice B rationale:

The hepatic portal system is not composed of arteries and it does not supply oxygenated-rich blood to the sex glands.

Choice C rationale:

The hepatic portal system cannot be palpitated in the mid-upper arm in the antecubital space.

Choice D rationale:

The hepatic portal system carries blood from abdominal organs to the liver for processing before returning to the heart.

A. Hyperventilation. B. Diarrhea. C. Salicylate intoxication. D. Vomiting.

Correct Answer is B

Explanation

Choice A rationale:

Hyperventilation is a compensatory mechanism for metabolic acidosis, not a cause. It helps to eliminate carbon dioxide, a weak acid, to balance the pH.

Choice B rationale:

Diarrhea causes loss of bicarbonate, a base, from the body. This can lead to metabolic acidosis as there is an excess of acids.

Choice C rationale:

Salicylate intoxication can cause both respiratory alkalosis and metabolic acidosis. However, it is not the most common cause of metabolic acidosis.

Choice D rationale:

Vomiting leads to loss of gastric acid, a strong acid. This usually results in metabolic alkalosis, not acidosis.

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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

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Correct Answer is D

Explanation

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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?