A nurse is assessing a client who is postoperative and has anemia due to excess blood loss following surgery. Which of the following findings should the nurse expect?
Hypertension
Diarrhea
Fatigue
Bradycardia
The Correct Answer is C
A. Hypertension: Anemia is more likely to be associated with hypotension rather than hypertension. The body often responds to anemia by increasing heart rate and cardiac output to compensate for reduced oxygen-carrying capacity.
B. Diarrhea: Anemia itself is not directly associated with diarrhea. Excess blood loss can lead to anemia, but diarrhea is not a typical manifestation of anemia.
C. Fatigue: This is the correct answer. Fatigue is a common symptom of anemia, as reduced oxygen delivery to tissues can lead to feelings of weakness, tiredness, and lack of energy.
D. Bradycardia: Anemia is more likely to be associated with compensatory tachycardia (increased heart rate) rather than bradycardia. The body attempts to maintain oxygen delivery to tissues by increasing cardiac output.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The pain persists with rest and organic nitrates: This statement is incorrect. Anginal pain typically improves with rest and can be relieved by the administration of organic nitrates.
B. The pain usually lasts longer than 20 min: This statement is incorrect. Anginal pain is often brief and lasts for a few minutes, typically less than 20 minutes.
C. Exertion and anxiety can trigger the pain: This is the correct answer. Anginal pain is often triggered by activities that increase the workload of the heart, such as exertion or emotional stress (anxiety). These triggers lead to an increased demand for oxygen by the heart muscle, which may exceed the compromised blood supply, resulting in angina.
D. The pain often radiates to the jaw or the back: This statement is correct. Anginal pain may radiate to the jaw, back, shoulder, arm, or neck. The radiation of pain is a characteristic feature of angina.
Correct Answer is B
Explanation
A. Providing immediate rest for the client: Rest is important, but in the context of an acute asthma exacerbation, addressing the underlying respiratory distress is the priority.
B. Administering a nebulized beta-adrenergic agonist: This is the correct answer. Beta-adrenergic agonists, such as albuterol, are bronchodilators that help relieve bronchoconstriction and improve airflow. Administering a nebulized beta-adrenergic agonist is a key intervention during an acute asthma exacerbation to alleviate symptoms and improve respiratory function.
C. Positioning the client in high-Fowler's: While positioning can assist with respiratory effort, administering a bronchodilator is a more direct and immediate intervention to relieve airway obstruction.
D. Initiating oxygen therapy: While oxygen therapy may be necessary, addressing bronchoconstriction with a beta-adrenergic agonist is the primary intervention during an acute asthma exacerbation.
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