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) Correct. Avoiding herbal supplements is important as some herbs can interact with anticoagulant medications and affect their effectiveness.

B) Correct. Notifying the healthcare provider about unusual

bruising is essential, as it may indicate potential bleeding complications associated with anticoagulant therapy.

C) Incorrect. Taking aspirin while on anticoagulant therapy can increase the risk of bleeding and is not recommended without medical guidance.

D) Correct. Carrying a medical alert card indicating anticoagulant use is crucial to inform healthcare providers about the client's medication regimen in case of emergency.

Questions

A. Encourage the client to ambulate frequently. B. Administer prophylactic antibiotics as prescribed. C. Apply pressure dressings to potential bleeding sites. D. Monitor the client's blood glucose levels.

Correct Answer is C

Explanation

A) Incorrect. While ambulation is important for overall health, it is not the priority action to prevent bleeding complications.

B) Incorrect. Prophylactic antibiotics may be prescribed for specific medical conditions but are not the primary intervention to prevent hemorrhage.

C) Correct. Applying pressure dressings to potential bleeding sites is the priority action to prevent or control bleeding. It helps promote hemostasis and reduces the risk of excessive bleeding.

D) Incorrect. Monitoring blood glucose levels is important for clients with diabetes but is not directly related to preventing hemorrhage.

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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?

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