A nurse is collecting data on a patient who is experiencing hypovolemia. Which of the following findings should the nurse expect?
Peripheral edema
Bradycardia
Cyanosis
Hypotension
The Correct Answer is D
Choice A reason: Peripheral edema is typically associated with fluid overload, not hypovolemia, which is a decreased volume of circulating blood in the body.
Choice B reason: Bradycardia, or a slow heart rate, is not commonly associated with hypovolemia. Tachycardia, or a rapid heart rate, may occur as the body atempts to compensate for the reduced blood volume.
Choice C reason: Cyanosis, which is a bluish discoloration of the skin due to lack of oxygen, is not a direct sign of hypovolemia.
Choice D reason: Hypotension, or low blood pressure, is a common finding in hypovolemia as there is less blood circulating through the body.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Administering sodium bicarbonate is not indicated for respiratory alkalosis as it is an alkalinizing agent and could worsen the condition.
Choice B reason: Breathing into a paper bag can help to rebreathe CO2, which can help correct the pH in cases of hyperventilation-induced respiratory alkalosis.
Choice C reason: Having the patient's head between their knees is not a standard intervention for respiratory alkalosis and could be uncomfortable or unsafe for the patient.
Choice D reason: Acetazolamide is a diuretic that can cause metabolic acidosis to compensate for respiratory alkalosis, but it is not typically used for acute management of hyperventilation.
Correct Answer is B
Explanation
Choice A reason: Decreased pedal pulses could indicate a vascular issue but are not specific to DVT.
Choice B reason: Unilateral leg edema, especially when it is sudden, can be a sign of DVT and is the most indicative of the choices provided.
Choice C reason: Ecchymosis, or bruising, on the foot and ankle can be caused by many factors and is not specific to DVT.
Choice D reason: Coolness of the skin can be a sign of poor circulation but is not specific to DVT.
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