A nurse is assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock. Which of the following findings should the nurse expect?

Unconsciousness

Tachycardia

Cold clammy skin

Diminished urine output

Answer and Explanation

The Correct Answer is B

Choice A reason: Unconsciousness is not typically a finding in the early compensatory stage of hypovolemic shock; it may occur in more advanced stages.

Choice B reason: Tachycardia, or rapid heartbeat, is a compensatory mechanism to maintain cardiac output during the early stages of hypovolemic shock.

Choice C reason: Cold clammy skin is a result of peripheral vasoconstriction, which is a compensatory response to maintain blood flow to vital organs.

Choice D reason: Diminished urine output occurs as the body conserves fluid in response to decreased blood volume.

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Correct Answer is A

Explanation

Choice A reason: The 'thinking/content of thought' section of the Mental Health Status Examination assesses the logical process of thought, presence of delusions, obsessions, and preoccupations.

Choice B reason: 'Memory' assesses the person's ability to recall past events, which is not directly related to their current thought content.

Choice C reason: 'Judgment' evaluates the ability to make reasoned decisions, which, while important, is distinct from the content of thought.

Choice D reason: 'Speech and the ability to communicate' assesses the clarity, relevance, and coherence of speech, not the internal thought process.

A. Dosing of wounds. B. Dirty wounds. C. Necrotic and infected tissue are removed before infected wounds are closed. D. Infected wounds.

Correct Answer is C

Explanation

Choice A reason: Debridement is not related to dosing, which typically refers to medication administration.

Choice B reason: While debridement may involve cleaning dirty wounds, this choice does not fully capture the definition of debridement.

Choice C reason: Debridement is the medical process of removing dead, damaged, or infected tissue to improve the healing potential of the remaining healthy tissue.

Choice D reason: Infected wounds may require debridement, but this choice does not define what debridement is.

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A nurse is assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In the Mental Health Status Examination, which of the following focuses on what the person is thinking?

Correct Answer is A

Explanation

Debridement is:

Correct Answer is C

Explanation

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