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?

Arteriography

Electrocardiogram (ECG)

Chest X-ray

Complete blood count (CBC)

Answer and Explanation

The Correct Answer is A

A) Correct. Arteriography is a radiographic procedure that uses contrast dye to visualize the blood vessels and can precisely identify the location and cause of bleeding, especially in cases of significant hemorrhage.

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

C) Incorrect. A chest X-ray may be performed for various respiratory or cardiovascular assessments, but it is not specific to identifying the cause of bleeding.

D) Incorrect. A complete blood count (CBC) provides valuable information about the client's red blood cells and hemoglobin levels but does not directly identify the exact location and cause of bleeding.

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Correct Answer is C

Explanation

A) Incorrect. Administering oxygen is essential for a client experiencing difficulty breathing, but the nurse's immediate action should be to stop the blood transfusion and notify the healthcare provider.

B) Incorrect. While assessing the client's vital signs is important, the priority action is to stop the blood transfusion and seek immediate medical assistance.

C) Correct. Sudden difficulty breathing and chest pain after a blood transfusion may indicate an allergic reaction or transfusion-related acute lung injury (TRALI). The nurse should stop the transfusion immediately and inform the healthcare provider.

D) Incorrect. Elevating the head of the client's bed may be helpful in managing respiratory distress, but it is not the priority when there is a potential adverse reaction to the blood transfusion.

A. "I had a c-section with my first baby." B. "I have a history of clotting disorders in my family." C. "I am expecting twins in this pregnancy." D. "I plan to breastfeed my baby exclusively."

Correct Answer is D

Explanation

A. Having a previous C-section is a known risk factor for postpartum hemorrhage due to potential uterine scarring and complications during delivery.
B. A history of clotting disorders in the family can increase the risk of postpartum hemorrhage because it may indicate a predisposition to bleeding complications.
C. Expecting twins increases the risk of postpartum hemorrhage due to the larger uterine size and increased blood flow required to support multiple fetuses.
D. Planning to breastfeed exclusively does not increase the risk of postpartum hemorrhage. In fact, breastfeeding can help reduce the risk by promoting uterine contractions that help control bleeding after delivery. This statement indicates a need for further clarification.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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