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 B

Explanation

A) Incorrect. Bradycardia is not typically an early sign of compensatory response to hypovolemia. The body often responds to hypovolemia with an increased heart rate (tachycardia).

B) Correct. In the early stages of hypovolemia, the body may attempt to compensate by increasing blood pressure to maintain perfusion to vital organs.

C) Incorrect. Warm, flushed skin may be present in the initial stages of hypovolemia, but it is not necessarily an early sign of compensatory response.

D) Incorrect. Decreased urine output is a later sign of hypovolemia when the body's compensatory mechanisms are no longer effective in maintaining blood flow to the kidneys.

A. "I need to avoid taking herbal supplements." B. "I should notify my healthcare provider if I notice any unusual bruising." C. "I can take aspirin to relieve headaches while on anticoagulants." D. "I will carry a medical alert card indicating my anticoagulant use."

Correct Answer is C

Explanation

A) Correct. Avoiding herbal supplements is important as some herbs can interact with anticoagulant medications and affect their effectiveness.

B) Correct. Notifying the healthcare provider about unusual

bruising is essential, as it may indicate potential bleeding complications associated with anticoagulant therapy.

C) Incorrect. Taking aspirin while on anticoagulant therapy can increase the risk of bleeding and is not recommended without medical guidance.

D) Correct. Carrying a medical alert card indicating anticoagulant use is crucial to inform healthcare providers about the client's medication regimen in case of emergency.

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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 client is brought to the emergency department with suspected internal bleeding. Which assessment finding would the nurse identify as an early sign of compensatory response to hypovolemia?

Correct Answer is B

Explanation

A client is receiving anticoagulant therapy to prevent blood clots. Which statement by the client indicates a need for further education about the medication?

Correct Answer is C

Explanation

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A nurse is caring for a client with suspected hemorrhage. Which diagnostic test should the nurse anticipate to identify the exact location and cause of bleeding?