A nurse is caring for a client at risk of hemorrhage. What is the nurse's priority action to prevent bleeding complications?

Encourage the client to ambulate frequently.

Administer prophylactic antibiotics as prescribed.

Apply pressure dressings to potential bleeding sites.

Monitor the client's blood glucose levels.

Answer and Explanation

The Correct Answer is C

A) Incorrect. While ambulation is important for overall health, it is not the priority action to prevent bleeding complications.

B) Incorrect. Prophylactic antibiotics may be prescribed for specific medical conditions but are not the primary intervention to prevent hemorrhage.

C) Correct. Applying pressure dressings to potential bleeding sites is the priority action to prevent or control bleeding. It helps promote hemostasis and reduces the risk of excessive bleeding.

D) Incorrect. Monitoring blood glucose levels is important for clients with diabetes but is not directly related to preventing hemorrhage.

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Correct Answer is C

Explanation

A) Incorrect. While monitoring the client's pain level is important, it is not the priority when managing postpartum hemorrhage.

B) Incorrect. While breastfeeding can help stimulate uterine contractions, it is not the priority when actively managing postpartum hemorrhage.

C) Correct. Assessing the client's uterine contractions is the priority when managing postpartum hemorrhage. Weak or ineffective contractions can contribute to excessive bleeding after childbirth.

D) Incorrect. While educating the client about contraceptive methods is essential for family planning, it is not the immediate priority when managing postpartum hemorrhage.

A. Complete blood count (CBC) B. Serum electrolytes C. Prothrombin time (PT) D. Blood glucose level

Correct Answer is C

Explanation

A) Incorrect. A complete blood count (CBC) provides information about the client's red blood cells, white blood cells, and platelets, but it does not directly assess clotting function.

B) Incorrect. Serum electrolytes help assess the body's fluid balance and various organ functions, but they do not specifically indicate clotting function.

C) Correct. Prothrombin time (PT) is a measure of the time it takes for the blood to clot, primarily assessing the function of the extrinsic pathway of coagulation. It is an essential test in evaluating clotting disorders.

D) Incorrect. Blood glucose level is not directly related to clotting function and is more indicative of a client's metabolic status.

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A nurse is caring for a client at risk of hemorrhage. What is the nurse's priority action to prevent bleeding complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is experiencing postpartum hemorrhage. What should the nurse prioritize when providing care to this client?

Correct Answer is C

Explanation

A client with a history of bleeding disorders presents to the emergency department with excessive bleeding from a minor cut. Which laboratory test should the nurse monitor to assess the client's clotting function?

Correct Answer is C

Explanation

A nurse is caring for a client who experienced a hemorrhage and received a blood transfusion. The client reports sudden difficulty breathing and chest pain. What is the nurse's immediate action?

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