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 C

Explanation

Choice A rationale:

Developing influenza after receiving the vaccine the previous year is not a contraindication for receiving the vaccine this year. In fact, the vaccine is recommended annually.

Choice B rationale:

Hypertension is not a contraindication for receiving the influenza vaccine.

Choice C rationale:

Clients with a history of Guillain-Barré syndrome should generally avoid receiving the influenza vaccine due to a potential increased risk of recurrence of the syndrome.

Choice D rationale:

Allergies to dairy products are not a contraindication for receiving the influenza vaccine.

A. Asterixis B. Weight gain C. Abdominal pain D. Constipation

Correct Answer is C

Explanation

Choice A rationale:

Asterixis is a hand-flapping tremor that can be associated with hepatic encephalopathy, not pancreatic cancer.

Choice B rationale:

Weight gain is not typically associated with pancreatic cancer and may not be a relevant manifestation to include.

Choice C rationale:

Abdominal pain is a common manifestation of pancreatic cancer and should be included in the teaching.

Choice D rationale:

Constipation is not typically associated with pancreatic cancer and may not be a relevant manifestation to include.

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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

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer the influenza vaccine to a group of clients. For which of the following clients should the nurse withhold the vaccine?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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