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

Hypertension

Bradycardia

Tachypnea

Hyperthermia

Answer and Explanation

The Correct Answer is C

A. Hypertension is not an early sign of hemorrhage; instead, hypotension occurs as blood loss progresses.
B. Bradycardia is not an expected response; tachycardia is more common due to compensatory mechanisms.
C. Tachypnea is an early indicator of internal bleeding as the body attempts to compensate for decreased oxygen delivery by increasing respiratory rate.
D. Hyperthermia is not associated with hemorrhage; instead, hypothermia can occur with significant blood loss.

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Correct Answer is C

Explanation

A) Incorrect. Avoiding contact sports is a relevant safety measure for some individuals with bleeding disorders, but it is not the priority in preventing cuts and bleeding at home.

B) Incorrect. While keeping the home environment cool may be helpful for some individuals with certain bleeding disorders, it is not the primary safety measure.

C) Correct. Using electric razors for shaving can prevent cuts and reduce the risk of bleeding in clients with bleeding disorders.

D) Incorrect. Taking aspirin daily is not recommended for clients with bleeding disorders as it can increase the risk of bleeding due to its antiplatelet effects.

A. "The doctor will remove a sample of my bone marrow for testing." B. "They will use a scope to look inside my stomach and intestines." C. "The nurse will check my blood pressure and heart rate during the procedure." D. "They will perform an ultrasound to see if there's any bleeding in my abdomen."

Correct Answer is A

Explanation

A) Correct. Bone marrow aspiration involves the removal of a small sample of bone marrow from the hip bone to assess the production of blood cells and identify potential causes of bleeding disorders.

B) Incorrect. The statement describes an esophagogastroduodenoscopy (EGD), which is not the procedure scheduled for this client.

C) Incorrect. Monitoring blood pressure and heart rate is essential during any procedure, but it is not specific to bone marrow aspiration.

D) Incorrect. An ultrasound is not relevant to a bone marrow aspiration procedure and is not used to assess bleeding disorders. It is typically used for imaging soft tissues and organs.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client with a bleeding disorder about home safety measures. What should the nurse include in the client's teaching?

Correct Answer is C

Explanation

A client with suspected bleeding disorders is scheduled for a bone marrow aspiration. Which statement made by the client indicates a correct understanding of the procedure?

Correct Answer is A

Explanation

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