A nurse is caring for a client who experienced external bleeding from a leg wound. Which finding should the nurse recognize as a potential sign of internal bleeding?

Swelling and bruising around the wound.

Cool and pale skin in the extremities.

Blood oozing from the wound site.

Visible blood clot formation.

Answer and Explanation

The Correct Answer is B

A) Incorrect. Swelling and bruising around the wound are common signs of external bleeding and do not directly indicate internal bleeding.

B) Correct. Cool and pale skin in the extremities may be indicative of vasoconstriction and reduced blood flow, which can occur in response to internal bleeding.

C) Incorrect. Blood oozing from the wound site is a typical sign of external bleeding and does not necessarily indicate internal bleeding.

D) Incorrect. Visible blood clot formation at the wound site is a normal part of the body's hemostatic response to control external bleeding and does not directly suggest internal bleeding.

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Correct Answer is A

Explanation

A) Correct. Anticoagulant therapy prevents blood from clotting effectively, which can lead to an increased risk of bleeding.

B) Incorrect. Anticoagulant therapy is not associated with elevated blood pressure readings.

C) Incorrect. Hyperactivity and restlessness are not typical adverse effects of anticoagulant therapy.

D) Incorrect. Anticoagulant therapy does not increase blood viscosity (thickness); instead, it reduces the blood's ability to form clots.

A. "The doctor will remove a sample of my bone marrow for testing." B. "They will use a scope to look inside my stomach and intestines." C. "The nurse will check my blood pressure and heart rate during the procedure." D. "They will perform an ultrasound to see if there's any bleeding in my abdomen."

Correct Answer is A

Explanation

A) Correct. Bone marrow aspiration involves the removal of a small sample of bone marrow from the hip bone to assess the production of blood cells and identify potential causes of bleeding disorders.

B) Incorrect. The statement describes an esophagogastroduodenoscopy (EGD), which is not the procedure scheduled for this client.

C) Incorrect. Monitoring blood pressure and heart rate is essential during any procedure, but it is not specific to bone marrow aspiration.

D) Incorrect. An ultrasound is not relevant to a bone marrow aspiration procedure and is not used to assess bleeding disorders. It is typically used for imaging soft tissues and organs.

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A nurse is caring for a client who experienced external bleeding from a leg wound. Which finding should the nurse recognize as a potential sign of internal bleeding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is receiving anticoagulant therapy to prevent blood clots. The nurse identifies a potential adverse effect of anticoagulation as:

Correct Answer is A

Explanation

A client with suspected bleeding disorders is scheduled for a bone marrow aspiration. Which statement made by the client indicates a correct understanding of the procedure?

Correct Answer is A

Explanation

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