A nurse is assessing a client who is experiencing postpartum hemorrhage. Which of the following findings should the nurse identify as an indication of excessive blood loss?

Tachycardia

Flushed skin

Polyuria

Firm fundus

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Tachycardia (rapid heart rate) is a common early indicator of excessive blood loss. It is the body's compensatory response to decrease in circulating blood volume.

Choice B rationale:

Flushed skin is not necessarily indicative of excessive blood loss. Pallor may be more characteristic.

Choice C rationale:

Polyuria (increased urine output) is not a reliable indicator of blood loss and is not commonly associated with postpartum hemorrhage.

Choice D rationale:

A firm fundus is a positive sign and indicates the uterus is contracting appropriately. It is not indicative of excessive blood loss.

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Correct Answer is A

Explanation

Choice A rationale:

Dry mouth is a common side effect of amitriptyline, which is a tricyclic antidepressant. Informing the client of potential side effects is important for their understanding and management of medication-related symptoms.

Choice B rationale:

Amitriptyline is not known to cause an increase in blood pressure. In fact, it can have a hypotensive effect.

Choice C rationale:

Weight loss is not a typical side effect of amitriptyline. It can often lead to weight gain.

Choice D rationale:

Amitriptyline can cause urinary retention rather than increased urination.

A. Allow the client extra time to perform ADLS. B. Monitor the client for weight gain. C. Instruct the client to look down at the feet when walking. D. Provide the client with a low-protein diet.

Correct Answer is A

Explanation

Choice A rationale:

Clients with Parkinson's disease often have motor difficulties and slowed movements. Allowing extra time for activities of daily living (ADLs) can help them maintain independence and reduce frustration.

Choice B rationale:

Weight gain is not a common manifestation of Parkinson's disease or a primary concern in its management.

Choice C rationale:

Instructing the client to look down at the feet when walking is not accurate advice for Parkinson's disease. It's important to maintain an upright posture and look ahead to improve balance and gait.

Choice D rationale:

A low-protein diet is not generally recommended for clients with Parkinson's disease, as protein can affect the absorption of levodopa, a common medication used in its management.

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A nurse is assessing a client who is experiencing postpartum hemorrhage. Which of the following findings should the nurse identify as an indication of excessive blood loss?

Nursing Test Bank

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