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. Urine output 20 mL/hr: Oliguria, or low urine output (less than 30 mL/hr), is a common sign of dehydration.
B. Bradycardia: Dehydration typically causes tachycardia (increased heart rate) as the body compensates for decreased blood volume.
C. Sodium 142 mEq/L: A sodium level of 142 mEq/L is within the normal range (135-145 mEq/L) and does not indicate dehydration.
D. Cool skin: Dehydration usually results in warm, dry skin due to decreased perfusion and sweating.

A. Avoid gas-producing foods. B. Add fluid and fiber to the diet. C. Promote active range-of-motion activities. D. Request that the provider prescribe a stool softener.

Correct Answer is B

Explanation

A. Avoid gas-producing foods: Avoiding gas-producing foods may reduce bloating but does not directly address constipation.
B. Add fluid and fiber to the diet. Increasing fluid and fiber intake helps to soften stool and promote regular bowel movements.
C. Promote active range-of-motion activities: While physical activity can help with bowel movements, active range-of-motion activities alone are not sufficient to address constipation.
D. Request that the provider prescribe a stool softener: This may be helpful but is usually considered after dietary measures have been attempted.

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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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Naxlex Comprehensive Predictor Exams

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Explanation

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