A nurse is caring for a client with suspected hemorrhage. The nurse should anticipate which diagnostic test as a priority to identify the cause and source of bleeding?

Computed Tomography (CT) scan

Complete Blood Count (CBC)

Electrocardiogram (ECG)

Magnetic Resonance Imaging (MRI)

Answer and Explanation

The Correct Answer is A

A) Correct. A CT scan is a valuable diagnostic tool to identify the cause and source of bleeding, especially in cases of significant hemorrhage.

B) Incorrect. While a complete blood count (CBC) provides valuable information about the client's red blood cells and hemoglobin levels, it does not directly identify the cause and source of bleeding.

C) Incorrect. An electrocardiogram (ECG) is used to assess the heart's electrical activity and is not relevant to identifying the cause and source of bleeding.

D) Incorrect. Magnetic Resonance Imaging (MRI) is helpful in diagnosing various conditions but is not the primary test for identifying the cause and source of bleeding in a client with suspected hemorrhage.

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Correct Answer is A

Explanation

A) Correct. The priority during the initial resuscitation phase of hypovolemic shock is to replace lost intravascular volume promptly. Administering IV fluids rapidly is crucial to improve tissue perfusion and blood pressure.

B) Incorrect. While administering supplemental oxygen is important for tissue oxygenation, it is not the primary intervention during the initial resuscitation phase.

C) Incorrect. Monitoring blood glucose levels is important for overall assessment but is not the priority during the initial resuscitation phase of hypovolemic shock.

D) Incorrect. Neurological assessments are essential but may not be the immediate priority during the initial resuscitation phase of hypovolemic shock.

A. "Avoid using electric razors for shaving." B. "Limit your fluid intake to prevent overhydration." C. "Participate in high-impact exercise regularly." D. "Take over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) as needed for pain."

Correct Answer is A

Explanation

A) Correct. Electric razors are safer than traditional razors because they reduce the risk of cuts and bleeding in clients with bleeding disorders.

B) Incorrect. Adequate hydration is essential for overall health, and limiting fluid intake is not recommended for clients with bleeding disorders.

C) Incorrect. High-impact exercises can increase the risk of injury and bleeding in clients with bleeding disorders. Low-impact exercises are preferable.

D) Incorrect. Nonsteroidal anti-inflammatory drugs (NSAIDs) can increase the risk of bleeding and should be avoided by clients with bleeding disorders.

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A nurse is caring for a client with suspected hemorrhage. The nurse should anticipate which diagnostic test as a priority to identify the cause and source of bleeding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with hypovolemic shock due to hemorrhage. Which intervention should the nurse prioritize during the initial resuscitation phase?

Correct Answer is A

Explanation

A nurse is providing discharge education to a client with a history of bleeding disorders. Which instruction should the nurse include to promote client safety?

Correct Answer is A

Explanation

A nurse is reviewing the laboratory results of a client with suspected hemorrhage. Which finding should the nurse expect to observe in a client experiencing acute blood loss?

A nurse is caring for a client with a suspected bleeding disorder. Which nursing assessment is most essential to identify potential bleeding sources?

A nurse is caring for a client who is experiencing massive hemorrhage. Which intervention should the nurse prioritize to address hypovolemia?

A nurse is caring for a client who is experiencing active bleeding. What is the nurse's priority intervention?

A client has experienced a significant blood loss due to trauma. Which laboratory result should a nurse expect in the early stages of hemorrhage?

A nurse is caring for a client with suspected hemorrhage. The nurse should anticipate which diagnostic test as a priority to identify the cause and source of bleeding?

A nurse is educating a client about the risk factors for hemorrhage. Which statement made by the client requires further clarification?

A nurse is assessing a client with suspected gastrointestinal bleeding. Which stool characteristic is a common clinical manifestation of upper gastrointestinal bleeding?