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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: Hyperactive bowel sounds are not typically associated with hyperkalemia, which is a high level of potassium in the blood.

Choice B reason: Decreased deep tendon reﬂexes can be a sign of hyperkalemia, as high potassium levels can aﬀect neuromuscular function.

Choice C reason: Cerebral edema is not a direct manifestation of hyperkalemia; it is more commonly associated with other conditions such as traumatic brain injury or stroke.

Choice D reason: Weakening, or muscle weakness, can be a symptom of hyperkalemia, but it is less specific than decreased deep tendon reﬂexes.

A. Encourage walking in the corridor soon. B. Ensure participation in the decision room. C. State the most important information. D. Share rational moments with writen and graphic aid including blue.

Correct Answer is C

Explanation

Choice A reason: Encouraging walking in the corridor soon after surgery is important for preventing complications, but it is not specific enough as an instruction for a teaching plan.

Choice B reason: Ensuring participation in the decision room is vague and does not provide clear guidance for preoperative teaching.

Choice C reason: Stating the most important information is crucial in a teaching plan to ensure that the patient understands key aspects of their care.

Choice D reason: Sharing rational moments with writen and graphic aid can be helpful, but the inclusion of 'including blue' is unclear and not a standard part of preoperative teaching.

Please note that these responses are based on general medical and nursing practices. Specific hospital policies and patient circumstances may vary.

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A nurse is collecting data on a patient who is experiencing hypovolemia. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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