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

"Avoid the use of topical antiseptics on minor cuts."

"Apply direct pressure to the bleeding site for at least 10 minutes."

"Take over-the-counter aspirin to help stop bleeding quickly."

"Elevate the affected limb above the heart level."

Answer and Explanation

The Correct Answer is B

A) Incorrect. Topical antiseptics, such as hydrogen peroxide or alcohol, can help prevent infection but are safe to use on minor cuts when applied correctly.

B) Correct. Applying direct pressure to the bleeding site for at least 10 minutes helps control minor bleeding and allows the blood to clot, reducing the risk of excessive bleeding.

C) Incorrect. Aspirin is an antiplatelet medication and can increase the risk of bleeding. It should not be used to stop bleeding quickly without medical guidance.

D) Incorrect. Elevating the affected limb above the heart level is not typically necessary for minor bleeding episodes and may not be practical for all bleeding sites.

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Correct Answer is D

Explanation

A) Incorrect. While the respiratory rate is an important vital sign to monitor, it does not directly indicate the effectiveness of a blood transfusion.

B) Incorrect. Blood pressure is a critical vital sign, but it is not specific to assessing the effectiveness of a blood transfusion.

C) Incorrect. Urinary output is essential for assessing kidney function and fluid balance, but it does not directly reflect the impact of a blood transfusion.

D) Correct. Monitoring the hemoglobin level is crucial to determine if the blood transfusion has been effective in increasing the client's red blood cell count and improving oxygen-carrying capacity.

A. Swelling and bruising around the wound. B. Cool and pale skin in the extremities. C. Blood oozing from the wound site. D. Visible blood clot formation.

Correct Answer is B

Explanation

A) Incorrect. Swelling and bruising around the wound are common signs of external bleeding and do not directly indicate internal bleeding.

B) Correct. Cool and pale skin in the extremities may be indicative of vasoconstriction and reduced blood flow, which can occur in response to internal bleeding.

C) Incorrect. Blood oozing from the wound site is a typical sign of external bleeding and does not necessarily indicate internal bleeding.

D) Incorrect. Visible blood clot formation at the wound site is a normal part of the body's hemostatic response to control external bleeding and does not directly suggest internal bleeding.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who experienced a hemorrhage and received a blood transfusion. Which clinical manifestation should the nurse monitor to determine the effectiveness of the transfusion?

Correct Answer is D

Explanation

A nurse is caring for a client who experienced external bleeding from a leg wound. Which finding should the nurse recognize as a potential sign of internal bleeding?

Correct Answer is B

Explanation

A nurse is reviewing the laboratory results of a client with suspected hemorrhage. Which finding should the nurse expect to observe in a client experiencing acute blood loss?

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 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 with a suspected upper gastrointestinal bleed. Which diagnostic test should the nurse anticipate to confirm the presence of blood in the stomach and differentiate the source of bleeding?

A nurse is caring for a client with suspected hemorrhage. The nurse should anticipate which diagnostic test as a priority to identify the cause and source of bleeding?

A client is admitted to the emergency department following a motor vehicle accident. The nurse is aware that the client is at increased risk for hemorrhage due to which factor?

A nurse is assessing a client with suspected gastrointestinal bleeding. Which stool characteristic is a common clinical manifestation of upper gastrointestinal bleeding?

A nurse is preparing to administer a blood transfusion to a client with significant blood loss. What is the nurse's most important action before starting the transfusion?