A nurse is educating a client about the risk factors for hemorrhage. Which statement made by the client requires further clarification?

"I take anticoagulant medication for a heart condition."

"I have a family history of bleeding disorders."

"I regularly engage in low-impact exercise to stay healthy."

"I recently underwent major abdominal surgery."

Answer and Explanation

The Correct Answer is C

A) Correct. Anticoagulant medication can interfere with the body's clotting mechanism, increasing the risk of bleeding.

B) Correct. A family history of bleeding disorders can be a risk factor for hemorrhage due to potential genetic predisposition.

C) Incorrect. Regular low-impact exercise is a positive lifestyle choice that helps maintain cardiovascular health and does not directly contribute to an increased risk of hemorrhage.

D) Correct. Recent major surgery can be a risk factor for hemorrhage due to potential surgical site bleeding or complications.

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Correct Answer is A

Explanation

A) Correct. The priority during the initial resuscitation phase of hypovolemic shock is to replace lost intravascular volume promptly. Administering IV fluids rapidly is crucial to improve tissue perfusion and blood pressure.

B) Incorrect. While administering supplemental oxygen is important for tissue oxygenation, it is not the primary intervention during the initial resuscitation phase.

C) Incorrect. Monitoring blood glucose levels is important for overall assessment but is not the priority during the initial resuscitation phase of hypovolemic shock.

D) Incorrect. Neurological assessments are essential but may not be the immediate priority during the initial resuscitation phase of hypovolemic shock.

A. Elevated platelet count. B. Low prothrombin time (PT). C. Decreased ammonia levels. D. Elevated liver enzymes.

Correct Answer is A

Explanation

A) Correct. In liver cirrhosis, the damaged liver may sequester platelets, leading to a decreased platelet count. However, an elevated platelet count (thrombocytosis) can occur as a compensatory response to decreased liver function and is a sign of an increased risk of hemorrhage due to poor clot formation.

B) Incorrect. Low prothrombin time (PT) indicates faster clotting and is not associated with an increased risk of hemorrhage.

C) Incorrect. Decreased ammonia levels are a positive finding in liver cirrhosis, as elevated ammonia levels are harmful to the brain.

D) Incorrect. Elevated liver enzymes are indicative of liver damage, but they do not directly impact the client's risk of hemorrhage.

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A nurse is educating a client about the risk factors for hemorrhage. Which statement made by the client requires further clarification?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with hypovolemic shock due to hemorrhage. Which intervention should the nurse prioritize during the initial resuscitation phase?

Correct Answer is A

Explanation

A nurse is caring for a client with liver cirrhosis. Which assessment finding supports the client's increased risk of hemorrhage?

Correct Answer is A

Explanation

A client is receiving anticoagulant therapy to prevent blood clots. Which statement by the client indicates a need for further education about the medication?

A nurse is providing education to a client about self-management of minor bleeding episodes at home. Which instruction should the nurse include?

A nurse is caring for a client with suspected internal bleeding. Which assessment finding requires immediate intervention?

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?

A client is receiving anticoagulant therapy to prevent blood clots. The nurse identifies a potential adverse effect of anticoagulation as:

A nurse is monitoring a client for potential hemorrhage after a medical procedure. Which vital sign change is an early indicator of internal bleeding?

A nurse is providing discharge education to a client with a history of bleeding disorders. Which instruction should the nurse include to promote client safety?

A nurse is caring for a client who experienced a hemorrhage and received a blood transfusion. The client reports sudden difficulty breathing and chest pain. What is the nurse's immediate action?