A nurse is assessing a client who has experienced significant blood loss. Which of the following is a clinical sign of hypovolemia?

Bradycardia

Hypertension

Polyuria

Cool, clammy skin

Answer and Explanation

The Correct Answer is D

A. Bradycardia is not typical in hypovolemia; tachycardia is more common as the body compensates for fluid loss.
B. Hypotension, rather than hypertension, occurs due to reduced blood volume.
C. Polyuria is not a feature of hypovolemia; decreased urine output is expected.
D. Cool, clammy skin is a classic sign of hypovolemic shock as blood flow to the skin decreases in response to blood loss.

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Correct Answer is B

Explanation

A. Hypocalcemia is associated with hyperactive, not hypoactive, deep tendon reflexes.
B. Tingling of the extremities, known as paresthesia, is a common symptom of hypocalcemia, which can occur after thyroidectomy due to potential damage or removal of the parathyroid glands.
C. Constipation is more commonly associated with hypercalcemia.
D. Hypocalcemia typically presents with a prolonged, not shortened, QT interval.

A. "Do you need to increase your insulin dosage when you are stressed?" B. "Have you noticed any painful new ulcerations or sores on your feet?" C. "Have you seen any skin changes?" D. "Do you feel bloated after eating?"

Correct Answer is D

Explanation

A. This question assesses for glucose management under stress but does not specifically target autonomic neuropathy.
B. Painful ulcerations relate more to peripheral neuropathy rather than autonomic neuropathy.
C. Skin changes could be a result of diabetes but do not directly assess autonomic neuropathy.
D. Autonomic neuropathy can affect digestion, leading to symptoms such as bloating due to delayed gastric emptying (gastroparesis).

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A nurse is assessing a client who has experienced significant blood loss. Which of the following is a clinical sign of hypovolemia?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who had total thyroidectomy and a serum calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

Which question during the assessment of a patient who has diabetes will help the nurse identify autonomic neuropathy?

Correct Answer is D

Explanation

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