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 D

Explanation

A. Furosemide, a diuretic, is more likely to cause hypotension, not hypertension, due to fluid loss.
B. Furosemide is used to treat hypervolemia, so it does not cause hypervolemia.
C. Hypoglycemia is not a common adverse effect of furosemide; it primarily affects electrolytes.
D. Hypokalemia, or low potassium levels, is a common adverse effect of furosemide because it promotes potassium excretion in the urine.

A. Irrigate the catheter. B. Check the tubing for kinks. C. Notify the provider. D. Adjust the rate of the bladder irrigant.

Correct Answer is B

Explanation

A. Irrigating the catheter may be necessary, but the nurse should first assess for a simpler cause of the obstruction, such as a kink.
B. Checking for kinks is the priority, as it is a common cause of catheter obstruction and can be easily corrected.
C. Notifying the provider is unnecessary unless troubleshooting measures fail to resolve the issue.
D. Adjusting the bladder irrigant rate may be considered, but only after ensuring the tubing is free from kinks.

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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 has heart failure and a new prescription for furosemide. For which of the following adverse effects should the nurse monitor?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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