A nurse is collecting data from a client who sustained blood loss. Which of the following findings should the nurse identify as a manifestation of hypovolemia?

Increased blood pressure

Thready pulse

Dyspnea

Decreased heart rate

Answer and Explanation

The Correct Answer is B

A. Increased blood pressure: Hypovolemia typically causes a decrease in blood pressure, not an increase.
B. Thready pulse: A thready pulse is a common sign of hypovolemia due to decreased blood volume.
C. Dyspnea: While dyspnea can occur, it is not as specific as a thready pulse for hypovolemia.
D. Decreased heart rate: Hypovolemia usually causes an increased heart rate as the body tries to compensate for low blood volume.

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Correct Answer is A

Explanation

A. Dispose of the needle uncapped: The safest method to avoid needle-stick injuries and potential exposure to bloodborne pathogens, including hepatitis C, is to dispose of the needle immediately without recapping.
B. Ask another nurse to recap the needle: Asking another nurse to recap the needle still poses a risk of needle-stick injury and is not a recommended practice.
C. Place the cap on the table and slide the needle into the cap: This method, known as the "scoop" technique, reduces the risk compared to hand recapping but is still not the best practice. Proper sharps disposal is the preferred method.
D. Recap the needle: Recapping needles is discouraged due to the high risk of accidental needle-stick injuries.

A. Potassium 2.5 mEq/L B. Sodium 142 mEq/L C. Urine specific gravity 1.025 D. Blood glucose 110 mg/dL

Correct Answer is A

Explanation

A. Potassium 2.5 mEq/L: Hypokalemia is a critical finding that can cause severe cardiac and muscular complications, making it the priority.
B. Sodium 142 mEq/L: This sodium level is within the normal range (135-145 mEq/L) and does not indicate an immediate threat.
C. Urine specific gravity 1.025: This specific gravity indicates concentrated urine, which is expected in dehydration, but it is not the most critical finding.
D. Blood glucose 110 mg/dL: This blood glucose level is within the normal range and does not indicate an immediate threat.

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A nurse is collecting data from a client who sustained blood loss. Which of the following findings should the nurse identify as a manifestation of hypovolemia?

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